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General NPI Number Information
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NPI Number | 1972032589
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Entity Type | Organization
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Legal Business Name | BREATHE HOLISTIC HEALTH, INC.
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 06/07/2017
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Provider Practice Location Address
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Address Line | 900 N SAN ANTONIO RD
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City | LOS ALTOS
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State | CA
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Zip | 94022-1373
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Country | US
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Telephone | 408-464-5545
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Fax |
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Provider Business Mailing Address
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Address Line | 1288 ALBION LN
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City | SUNNYVALE
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State | CA
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Zip | 94087-3827
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Country | US
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Telephone | 408-464-5545
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LIAT HOD
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Credential | L.AC
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Telephone | 408-464-5545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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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 | 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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