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General NPI Number Information
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NPI Number | 1043816150
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Entity Type | Organization
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Legal Business Name | UNION VALLEY WELLNESS CENTER
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Dates
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Enumeration Date | 12/05/2020
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Last Update Date | 12/05/2020
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Provider Practice Location Address
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Address Line | 6150 MISSION ST STE 106
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City | DALY CITY
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State | CA
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Zip | 94014-2063
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Country | US
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Telephone | 650-451-2612
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Fax |
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Provider Business Mailing Address
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Address Line | 1087 MANZANITA DR
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City | PACIFICA
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State | CA
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Zip | 94044-4236
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Country | US
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Telephone | 650-451-2612
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Fax | 650-359-9028
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Authorized Official
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Title or Position | OWNER
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Name | MS. DOVE M YU
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Credential | L. AC.
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Telephone | 650-451-2612
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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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