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General NPI Number Information
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NPI Number | 1922367739
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Entity Type | Organization
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Legal Business Name | ORIENTAL MEDICAL ARTS & ACUPUNCTURE
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Dates
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Enumeration Date | 05/14/2012
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Last Update Date | 10/08/2018
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Provider Practice Location Address
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Address Line | 544 W VISTA WAY
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City | VISTA
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State | CA
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Zip | 92083
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Country | US
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Telephone | 760-639-6471
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Fax | 760-639-6482
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Provider Business Mailing Address
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Address Line | 544 W VISTA WAY
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City | VISTA
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State | CA
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Zip | 92083
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Country | US
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Telephone | 760-639-6471
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Fax | 760-639-6482
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MEGGIN B SULLIVAN
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Credential | OMD
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Telephone | 760-634-6471
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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 | AC8267
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License Number State | CA
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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 |
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License Number State |
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