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General NPI Number Information
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NPI Number | 1962737650
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Entity Type | Individual
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Provider Name | STACIE YOUNG HAN ND, LAC
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Gender | Female
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 317 N EL CAMINO REAL STE 408
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City | ENCINITAS
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State | CA
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Zip | 92024-2815
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Country | US
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Telephone | 858-598-3858
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Fax | 800-783-5451
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Provider Business Mailing Address
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Address Line | 317 N EL CAMINO REAL STE 408
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City | ENCINITAS
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State | CA
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Zip | 92024-2815
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Country | US
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Telephone | 858-598-3858
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Fax | 800-783-5451
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 198.001273
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License Number State | IL
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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 | WL3952
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT60116083
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | ND1337
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License Number State | CA
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