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General NPI Number Information
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NPI Number | 1851779664
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Entity Type | Organization
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Legal Business Name | ENDLESS POSSIBILITIES ACUPUNCTURE
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 501 CEDAR ST SUITE B
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City | SANTA CRUZ
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State | CA
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Zip | 95060-4358
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Country | US
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Telephone | 831-426-1093
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Fax | 831-426-6523
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Provider Business Mailing Address
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Address Line | 501 CEDAR ST SUITE B
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City | SANTA CRUZ
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State | CA
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Zip | 95060-4358
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Country | US
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Telephone | 831-426-1093
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Fax | 831-426-6523
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Authorized Official
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Title or Position | BOSS
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Name | DR. MAUREEN H ROZENN
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Credential | LAC, DAOM, FABORM
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Telephone | 831-426-1093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 16580
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License Number State | CA
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