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General NPI Number Information
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NPI Number | 1104414028
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Entity Type | Organization
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Legal Business Name | UYAYI ACUPUNCTURE & HERBAL MEDICINE: A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 415 W BENJAMIN HOLT DR STE B3
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City | STOCKTON
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State | CA
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Zip | 95207-3958
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Country | US
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Telephone | 209-670-3847
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Fax |
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Provider Business Mailing Address
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Address Line | 10815 BEACHCOMBER DR
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City | STOCKTON
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State | CA
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Zip | 95209-4275
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Country | US
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Telephone | 415-794-3206
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FRANCIS MARLON BUGARIN
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Credential | L.AC.
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Telephone | 415-794-3206
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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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