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General NPI Number Information
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NPI Number | 1134523962
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Entity Type | Organization
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Legal Business Name | YES ACUPUNCTURE CLINIC, INC.
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 105 N SAN MATEO DR
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City | SAN MATEO
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State | CA
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Zip | 94401-2708
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Country | US
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Telephone | 650-558-8118
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Fax |
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Provider Business Mailing Address
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Address Line | 105 N SAN MATEO DR
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City | SAN MATEO
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State | CA
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Zip | 94401-2708
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Country | US
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Telephone | 650-558-8118
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NAN YE
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Credential |
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Telephone | 650-814-9542
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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 | AC13364
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License Number State | CA
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