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General NPI Number Information
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NPI Number | 1063628766
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Entity Type | Individual
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Provider Name | YU SHIH L.AC
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 05/18/2008
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Provider Practice Location Address
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Address Line | 2063 S ATLANTIC BLVD SUITE 303
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City | MONTEREY PARK
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State | CA
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Zip | 91754-6344
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Country | US
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Telephone | 323-268-8609
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Fax | 323-268-8609
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Provider Business Mailing Address
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Address Line | 2168 S ATLANTIC BLVD PMB160
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City | MONTEREY PARK
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State | CA
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Zip | 91754-6839
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Country | US
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Telephone | 626-487-9129
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Fax | 323-268-8609
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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 | AC7496
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License Number State | CA
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