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General NPI Number Information
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NPI Number | 1184106643
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Entity Type | Organization
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Legal Business Name | SUNSHINE ACUPUNCTURE & HEALTHCARE
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 08/31/2018
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Provider Practice Location Address
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Address Line | 3350 SCOTT BLVD. #28-2
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City | SANTA CLARA
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State | CA
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Zip | 95054
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Country | US
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Telephone | 510-396-1868
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 SCOTT BLVD. #28-2
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City | SANTA CLARA
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State | CA
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Zip | 95054
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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 | PRESIDENT
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Name | HUIJUAN WANG
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Credential | LAC
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Telephone | 510-396-1868
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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 | AC16501
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License Number State | CA
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