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General NPI Number Information
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NPI Number | 1225623747
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Entity Type | Organization
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Legal Business Name | PEMA ACUPUNCTURE
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 542 LAKESIDE DR STE 5
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City | SUNNYVALE
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State | CA
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Zip | 94085-4005
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Country | US
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Telephone | 510-673-7789
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Fax |
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Provider Business Mailing Address
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Address Line | 1611 ELWOOD DR
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City | LOS GATOS
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State | CA
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Zip | 95032-1033
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Country | US
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Telephone | 510-673-7789
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | JULIANA FANG
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Credential | L.AC
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Telephone | 510-673-7789
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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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