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NPI 1033680244

NPI 1033680244 : SYNERGY ACUPUNCTURE & HERBS INC. : WALNUT, CA

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General NPI Number Information
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    NPI Number           |    1033680244
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    Entity Type          |    Organization 
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    Legal Business Name  |    SYNERGY ACUPUNCTURE & HERBS INC. 
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Dates
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    Enumeration Date     |    12/16/2018
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    Last Update Date     |    01/09/2023
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Provider Practice Location Address
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    Address Line         |    19811 COLIMA RD STE 140 
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    City                 |    WALNUT
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    State                |    CA
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    Zip                  |    91789-3422
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    Country              |    US
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    Telephone            |    626-394-1672
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19811 COLIMA RD STE 140 
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    City                 |    WALNUT
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    State                |    CA
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    Zip                  |    91789-3422
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    Country              |    US
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    Telephone            |    626-394-1672
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ZHECHAO  LI 
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    Credential           |    
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    Telephone            |    626-394-1672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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