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General NPI Number Information
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NPI Number | 1053777912
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Entity Type | Organization
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Legal Business Name | LIN WU DBA OC HEALTH ACUPUNCTURE
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 740 EL CAMINO REAL SUITE 100
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City | TUSTIN
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State | CA
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Zip | 92780-4369
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Country | US
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Telephone | 949-228-8028
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Fax | 949-438-0559
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Provider Business Mailing Address
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Address Line | 740 EL CAMINO REAL SUITE 100
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City | TUSTIN
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State | CA
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Zip | 92780-4369
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Country | US
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Telephone | 949-228-8028
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Fax | 949-438-0559
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Authorized Official
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Title or Position | OWNER
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Name | DR. LIN WU
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Credential | L.AC
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Telephone | 949-228-8028
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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 | AC10814
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License Number State | CA
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