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General NPI Number Information
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NPI Number | 1992587117
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Entity Type | Organization
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Legal Business Name | CULPEPPER ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 2940 SUMMIT ST STE 2F
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City | OAKLAND
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State | CA
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Zip | 94609-3416
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Country | US
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Telephone | 415-730-6750
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Fax | 866-264-6043
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Provider Business Mailing Address
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Address Line | 2940 SUMMIT ST STE 2F
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City | OAKLAND
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State | CA
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Zip | 94609-3416
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Country | US
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Telephone | 510-646-0455
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARNY LYNN CULPEPPER
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Credential | LAC
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Telephone | 415-730-6750
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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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