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General NPI Number Information
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NPI Number | 1902244494
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Entity Type | Individual
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Provider Name | MONA AHDOOT ACUPUNCTURIST
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Gender | Female
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Dates
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Enumeration Date | 06/06/2013
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 1200 ALTA LOMA ROAD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069
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Country | US
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Telephone | 310-927-3097
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Fax | 310-388-0968
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Provider Business Mailing Address
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Address Line | 475 S LA PEER DRIVE
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City | BEVERLY HILLS
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State | CA
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Zip | 90211
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Country | US
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Telephone | 310-902-0240
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Fax | 310-388-0968
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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 | 15433
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License Number State | CA
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