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General NPI Number Information
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NPI Number | 1972056091
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Entity Type | Organization
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Legal Business Name | RUMIKO ONISHI LAC
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 5150 E PACIFIC COAST HWY STE 460
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City | LONG BEACH
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State | CA
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Zip | 90804-3312
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Country | US
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Telephone | 805-403-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 5150 E PACIFIC COAST HWY STE 460
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City | LONG BEACH
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State | CA
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Zip | 90804-3312
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER/PROVIDER
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Name | RUMIKO CHRISTIANSEN
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Credential | LAC
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Telephone | 805-403-2222
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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 | AC11622
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License Number State | CA
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