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General NPI Number Information
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NPI Number | 1053856484
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Entity Type | Organization
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Legal Business Name | DO ACUPUNCTURE HERBS CORP
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 979 STORY RD UNIT 7024
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City | SAN JOSE
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State | CA
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Zip | 95122-4602
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Country | US
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Telephone | 669-888-6979
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Fax |
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Provider Business Mailing Address
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Address Line | 979 STORY RD UNIT 7024
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City | SAN JOSE
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State | CA
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Zip | 95122-4602
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Country | US
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Telephone | 669-888-6979
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NGOC DO
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Credential |
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Telephone | 669-888-6979
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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 | AC 16757
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License Number State | CA
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