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NPI 1932756459

NPI 1932756459 : CENTERED IN WELLNESS ACUPUNCTURE & CHINESE MEDICINE, PROFESSIONAL CORP : CHULA VISTA, CA

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General NPI Number Information
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    NPI Number           |    1932756459
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTERED IN WELLNESS ACUPUNCTURE & CHINESE MEDICINE, PROFESSIONAL CORP 
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Dates
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    Enumeration Date     |    08/20/2019
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    Last Update Date     |    08/20/2019
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Provider Practice Location Address
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    Address Line         |    821 KUHN DR STE 107 
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    City                 |    CHULA VISTA
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    State                |    CA
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    Zip                  |    91914-4508
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    Country              |    US
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    Telephone            |    619-610-0222
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1460 MOCKINGBIRD CT UNIT 1 
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    City                 |    CHULA VISTA
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    State                |    CA
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    Zip                  |    91913-2681
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    Country              |    US
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    Telephone            |    619-733-7558
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER
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    Name                 |     CHRISTIE  TERUEL 
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    Credential           |    LAC
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    Telephone            |    619-733-7558
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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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