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General NPI Number Information
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NPI Number | 1881087500
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Entity Type | Organization
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Legal Business Name | SHEILA'S ACUPUNCTURE AND HERBS
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 485 ANTELOPE BLVD STE IANDJ
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City | RED BLUFF
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State | CA
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Zip | 96080-2444
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Country | US
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Telephone | 530-528-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 485 ANTELOPE BLVD STE IANDJ
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City | RED BLUFF
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State | CA
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Zip | 96080-2444
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | SHEILA KENG
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Credential |
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Telephone | 530-528-2688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AC3541
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License Number State | CA
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