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General NPI Number Information
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NPI Number | 1851657787
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Entity Type | Organization
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Legal Business Name | ELLA ASHABI ACUPUNCTURE INC.
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 23722 BIRTCHER DR
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City | LAKE FOREST
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State | CA
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Zip | 92630-1771
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Country | US
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Telephone | 949-344-9707
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Fax | 949-916-6659
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Provider Business Mailing Address
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Address Line | 12921 FAIRHAVEN EXT
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City | SANTA ANA
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State | CA
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Zip | 92705-1357
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Country | US
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Telephone | 949-955-9499
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Fax | 949-916-6659
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Authorized Official
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Title or Position | OWNER
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Name | ELLA ASHABI
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Credential | LAC PHD
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Telephone | 949-955-9499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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