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General NPI Number Information
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NPI Number | 1104232818
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Entity Type | Organization
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Legal Business Name | WU ACUPUNCTURE HERBAL INC.
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 835 CLAY ST SUITE 102
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-1647
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Country | US
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Telephone | 415-362-7276
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Fax | 415-362-3788
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Provider Business Mailing Address
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Address Line | 640 FRANCISCO ST APT 1214
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City | SAN FRANCISCO
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State | CA
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Zip | 94133-1724
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Country | US
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Telephone | 415-361-2018
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YONGYI WU
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Credential |
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Telephone | 415-362-7276
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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 8350
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License Number State | CA
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