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General NPI Number Information
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NPI Number | 1194840793
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Entity Type | Organization
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Legal Business Name | FENWU UNIVERSITY OF ALTERNATIVE MEDICINE
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 28 S PALM AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-3101
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Country | US
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Telephone | 626-458-8805
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Fax |
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Provider Business Mailing Address
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Address Line | 55 S RAYMOND AVE #105
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City | ALHAMBRA
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State | CA
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Zip | 91801-3128
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Country | US
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Telephone | 213-458-8805
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MEGAN HAH
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Credential | L.AC.
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Telephone | 626-458-8895
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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 | AC7566
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License Number State | CA
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