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General NPI Number Information
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NPI Number | 1134751118
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Entity Type | Organization
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Legal Business Name | WEST SAN JOSE ACUPUNCTURE CORP
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 5131 MOORPARK AVE STE 302
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City | SAN JOSE
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State | CA
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Zip | 95129-2100
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Country | US
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Telephone | 408-316-7518
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 COTTAGE WAY, STE G2 #1533
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City | SACRAMENTO
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State | CA
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Zip | 95825-1474
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Country | US
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Telephone | 408-316-7518
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | HUIXIANG LIU
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Credential |
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Telephone | 408-316-7518
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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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