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General NPI Number Information
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NPI Number | 1891869525
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Entity Type | Individual
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Provider Name | FREDD HILTON DUNHAM L.AC., LMT
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1727 STATE ST 27
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2521
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Country | US
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Telephone | 805-455-5550
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Fax | 805-686-9711
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Provider Business Mailing Address
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Address Line | PO BOX 196
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City | BUELLTON
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State | CA
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Zip | 93427-0196
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Country | US
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Telephone | 805-455-5550
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Fax | 805-686-9711
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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 | AC 10742
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License Number State | CA
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