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General NPI Number Information
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NPI Number | 1881912715
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Entity Type | Individual
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Provider Name | YASMIN L. SPENCER LAC, DAOM, DIPL. OM
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Gender | Female
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 427 F ST STE 210
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City | EUREKA
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State | CA
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Zip | 95501-1040
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Country | US
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Telephone | 707-616-6880
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 112
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City | ARCATA
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State | CA
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Zip | 95518-0112
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Country | US
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Telephone | 510-435-4241
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OM000119
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License Number State | PA
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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 | AC 12948
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License Number State | CA
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