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General NPI Number Information
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NPI Number | 1053840835
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Entity Type | Organization
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Legal Business Name | NEW BODY ACUPUNCTURE
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Dates
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Enumeration Date | 06/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 240 S LA CIENEGA BLVD STE 104
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3313
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Country | US
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Telephone | 310-358-0276
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Fax | 310-359-1464
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Provider Business Mailing Address
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Address Line | 240 S LA CIENEGA BLVD STE 104
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3313
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Country | US
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Telephone | 310-358-0276
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Fax | 310-359-1464
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | DAN WU
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Credential | ACUPUNCTURIST
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Telephone | 310-358-0276
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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 | 12026
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License Number State | CA
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