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General NPI Number Information
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NPI Number | 1205104312
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Entity Type | Organization
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Legal Business Name | SUNRISE ACUPUNCTURE & HERBS, INC.
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Dates
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Enumeration Date | 12/02/2011
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 6894 GLENVIEW DR
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City | SAN JOSE
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State | CA
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Zip | 95120-5421
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Country | US
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Telephone | 408-997-1729
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Fax |
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Provider Business Mailing Address
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Address Line | 6894 GLENVIEW DR
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City | SAN JOSE
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State | CA
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Zip | 95120-5421
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Country | US
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Telephone | 408-997-1729
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Fax |
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Authorized Official
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Title or Position | L.AC
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Name | MR. TA-TUNG LIN
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Credential |
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Telephone | 408-528-5034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | AC14456
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | AC14398
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License Number State | CA
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