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General NPI Number Information
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NPI Number | 1871086512
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Entity Type | Organization
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Legal Business Name | PARSI ACCUPUNCTURE CLINIC, PC
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 06/07/2018
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Provider Practice Location Address
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Address Line | 22 ODYSSEY STE 165
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City | IRVINE
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State | CA
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Zip | 92618-3194
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Country | US
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Telephone | 949-216-0969
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 JEFFREY DR APT A
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City | COSTA MESA
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State | CA
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Zip | 92626-2965
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Country | US
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Telephone | 949-216-0960
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | PROF. MARYAM PARSI -KANEMOTO
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Credential | LAC.
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Telephone | 949-216-0960
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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 | AC17884
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License Number State | CA
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