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General NPI Number Information
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NPI Number | 1992883979
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE PAIN MANAGEMENT
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 21320 HAWTHORNE BLVD SUITE 225
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City | TORRANCE
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State | CA
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Zip | 90503-5606
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Country | US
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Telephone | 310-698-3777
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Fax | 310-944-3779
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Provider Business Mailing Address
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Address Line | 21320 HAWTHORNE BLVD SUITE 225
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City | TORRANCE
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State | CA
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Zip | 90503-5606
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Country | US
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Telephone | 310-698-3777
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Fax | 310-944-3779
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Authorized Official
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Title or Position | OWNER
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Name | NANCY K BRIGDEN
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Credential | L.AC.
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Telephone | 310-698-3777
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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 | AC 6397, AC 6028
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License Number State | CA
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