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General NPI Number Information
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NPI Number | 1073202941
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Entity Type | Organization
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Legal Business Name | BAY LIFE ACUPUNCTURE INC
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 1660 S AMPHLETT BLVD STE 111
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City | SAN MATEO
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State | CA
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Zip | 94402-2507
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Country | US
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Telephone | 415-632-8226
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Fax |
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Provider Business Mailing Address
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Address Line | 31390 SAN ARDO CT
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City | UNION CITY
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State | CA
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Zip | 94587-2754
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Country | US
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Telephone | 415-632-8226
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | XIAOBING ZHAO
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Credential |
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Telephone | 415-937-4890
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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 |
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License Number State |
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