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General NPI Number Information
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NPI Number | 1023537388
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Entity Type | Organization
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Legal Business Name | ATP ACUPUNCTURE & HEALTH CENTER CORP.
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 10062 MILLER AVE STE 220
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City | CUPERTINO
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State | CA
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Zip | 95014
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Country | US
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Telephone | 408-809-1614
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Fax | 408-475-0588
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Provider Business Mailing Address
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Address Line | 10062 MILLER AVE STE 220
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City | CUPERTINO
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State | CA
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Zip | 95014-4580
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Country | US
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Telephone | 408-809-1614
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Fax | 408-475-0588
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Authorized Official
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Title or Position | CEO
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Name | JASON TAO
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Credential | L.AC
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Telephone | 510-673-5741
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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 | AC16880
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License Number State | CA
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