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General NPI Number Information
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NPI Number | 1932456837
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Entity Type | Organization
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Legal Business Name | EMW CENTER FOR HOLISTIC MEDICINE
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 5820 WILSHIRE BLVD STE 100
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City | LOS ANGELES
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State | CA
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Zip | 90036-4581
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Country | US
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Telephone | 323-936-8512
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Fax |
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Provider Business Mailing Address
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Address Line | 5820 WILSHIRE BLVD STE 100
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City | LOS ANGELES
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State | CA
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Zip | 90036-4581
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Country | US
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Telephone | 323-936-8512
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | POLINA BOWLER
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Credential |
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Telephone | 323-936-8512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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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 | AC6293
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License Number State | CA
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