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General NPI Number Information
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NPI Number | 1063815207
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Entity Type | Organization
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Legal Business Name | H&R MEDICAL GROUP CORP
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 2301 CAMINO RAMON STE 200
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City | SAN RAMON
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State | CA
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Zip | 94583-2000
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Country | US
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Telephone | 510-552-2678
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Fax |
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Provider Business Mailing Address
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Address Line | 111 DEERWOOD RD STE 288
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City | SAN RAMON
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State | CA
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Zip | 94583-1551
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Country | US
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Telephone | 510-552-2678
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. HONG FU
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Credential |
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Telephone | 510-552-2678
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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 | L.AC 15618
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License Number State | CA
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