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General NPI Number Information
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NPI Number | 1942766563
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Entity Type | Organization
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Legal Business Name | LEAH K. RICHARD ACUPUNCTURE
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 1020 SERPENTINE LN STE 115
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City | PLEASANTON
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State | CA
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Zip | 94566-4758
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Country | US
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Telephone | 925-293-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 969 DANA CIR
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City | LIVERMORE
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State | CA
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Zip | 94550-3781
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Country | US
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Telephone | 415-517-6161
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST, OWNER
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Name | LEAH KATHERINE RICHARD
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Credential | LAC
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Telephone | 415-517-6161
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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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