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General NPI Number Information
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NPI Number | 1073711396
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Entity Type | Organization
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Legal Business Name | LEE YEN HERBS & ACUPUNCTURE INC.
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Dates
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Enumeration Date | 07/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 818 N HILL ST UNIT I
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City | LOS ANGELES
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State | CA
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Zip | 90012-2395
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Country | US
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Telephone | 213-613-1873
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Fax |
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Provider Business Mailing Address
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Address Line | 818 N HILL ST UNIT I
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City | LOS ANGELES
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State | CA
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Zip | 90012-2395
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. YING LI CHU
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Credential | L.AC.
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Telephone | 213-613-1873
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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 | AC4063
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License Number State | CA
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