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General NPI Number Information
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NPI Number | 1992116933
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Entity Type | Individual
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Provider Name | LUANA BETH AKANA
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Gender | Female
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 11612 BANNER DR
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City | GARDEN GROVE
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State | CA
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Zip | 92843-2705
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Country | US
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Telephone | 714-322-0815
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Fax |
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Provider Business Mailing Address
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Address Line | 11612 BANNER DR
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City | GARDEN GROVE
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State | CA
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Zip | 92943
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Country | US
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Telephone | 714-322-0815
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Fax |
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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 | 173C00000X
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Taxonomy Name | Reflexologist
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License Number | 27160
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License Number State | CA
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