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General NPI Number Information
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NPI Number | 1144012527
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Entity Type | Organization
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Legal Business Name | AMERICAN AESTHETIC ACUPUNCTURE ACADEMY
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 2062 WALSH AVE STE B2
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City | SANTA CLARA
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State | CA
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Zip | 95050-2502
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Country | US
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Telephone | 408-887-6096
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Fax |
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Provider Business Mailing Address
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Address Line | 2225 S KING RD
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City | SAN JOSE
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State | CA
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Zip | 95122-2518
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Country | US
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Telephone | 408-887-6096
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MINGFENG LU
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Credential |
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Telephone | 408-887-6096
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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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