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General NPI Number Information
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NPI Number | 1245623958
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Entity Type | Organization
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Legal Business Name | YUAN MING ACUPUNCTURE CLINIC INC
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 676 W DANA ST
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-1302
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Country | US
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Telephone | 650-282-5708
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Fax |
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Provider Business Mailing Address
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Address Line | 676 W DANA ST
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-1302
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Country | US
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Telephone | 650-282-5708
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. XIANGYING WEN
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Credential | M.D.
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Telephone | 650-391-5991
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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 | AC15986
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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 | AC15838
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License Number State | CA
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