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General NPI Number Information
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NPI Number | 1932395548
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Entity Type | Organization
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Legal Business Name | SACRAMENTO WELLNESS CENTER
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 925 SECRET RIVER DR SUITE C
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City | SACRAMENTO
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State | CA
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Zip | 95831
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Country | US
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Telephone | 916-391-8188
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Fax | 916-399-4885
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Provider Business Mailing Address
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Address Line | 1212 ROSE TREE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95831
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Country | US
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Telephone | 916-391-8188
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Fax | 916-399-4885
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. LENA F CHENG
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Credential |
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Telephone | 916-601-3553
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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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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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