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General NPI Number Information
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NPI Number | 1154695831
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Entity Type | Organization
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Legal Business Name | FAMILY ACUPUNCTURE & CHIROPRACTIC
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Dates
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Enumeration Date | 02/28/2012
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 2701 CROW CANYON RD # D2
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City | SAN RAMON
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State | CA
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Zip | 94583-1631
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Country | US
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Telephone | 925-831-1289
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 CROW CANYON RD # D2
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City | SAN RAMON
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State | CA
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Zip | 94583-1631
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | LILY LIN
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Credential |
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Telephone | 925-831-1289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC26541
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC9681
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC27803
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License Number State | CA
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