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General NPI Number Information
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NPI Number | 1902618325
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Entity Type | Organization
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Legal Business Name | ABC CONSULTING INC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 8730 SANTA MONICA BLVD STE E
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4547
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Country | US
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Telephone | 310-652-3200
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Fax | 310-652-0525
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Provider Business Mailing Address
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Address Line | 333 WASHINGTON BLVD # 445
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5152
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Country | US
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Telephone | 310-460-9932
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Fax | 310-652-0525
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Authorized Official
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Title or Position | MANAGER
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Name | ANDREA BRADSHAW
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Credential |
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Telephone | 310-460-9932
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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 |
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License Number State |
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