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General NPI Number Information
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NPI Number | 1053285510
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Entity Type | Individual
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Provider Name | JAKE CHAOPING LIAO LAC.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 320 10TH ST STE 228
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City | OAKLAND
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State | CA
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Zip | 94607-6520
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Country | US
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Telephone | 510-213-3617
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Fax |
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Provider Business Mailing Address
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Address Line | 35 PONCETTA DR APT 323
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City | DALY CITY
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State | CA
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Zip | 94015-4821
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Country | US
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Telephone | 510-213-3617
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC19489
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License Number State | CA
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