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General NPI Number Information
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NPI Number | 1033411657
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE HEAVEN, INC
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 225 30TH ST STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95816-3359
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Country | US
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Telephone | 916-572-8858
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Fax |
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Provider Business Mailing Address
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Address Line | 225 30TH ST STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95816-3359
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Country | US
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Telephone | 916-725-8858
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES EDWARD CHANG
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Credential | L.AC.
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Telephone | 916-572-8858
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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