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General NPI Number Information
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NPI Number | 1114207842
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Entity Type | Organization
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Legal Business Name | REGAL ACUPUNCTURE CLINIC INC
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Dates
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Enumeration Date | 08/25/2011
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 490 POST ST STE 544
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-1412
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Country | US
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Telephone | 415-834-9198
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Fax | 925-254-1119
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Provider Business Mailing Address
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Address Line | 490 POST ST STE 544
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-1412
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Country | US
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Telephone | 415-834-9198
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Fax | 925-254-1119
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Authorized Official
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Title or Position | CEO
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Name | MS. JEON HEE JANG
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Credential | L.AC.
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Telephone | 415-834-9198
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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 | CA
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