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General NPI Number Information
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NPI Number | 1265875884
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Entity Type | Organization
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Legal Business Name | GUARDIAN ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 1614 S DE ANZA BLVD
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City | SAN JOSE
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State | CA
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Zip | 95129-4608
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Country | US
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Telephone | 408-996-8404
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Fax | 415-996-8004
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Provider Business Mailing Address
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Address Line | 1614 S DE ANZA BLVD
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City | SAN JOSE
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State | CA
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Zip | 95129-4608
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Country | US
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Telephone | 408-996-8404
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Fax | 415-996-8004
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Authorized Official
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Title or Position | OWNER OF GUARDIAN ACUPUNCTURE
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Name | MAOJUNG YEH
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Credential | L.AC
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Telephone | 408-996-8404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number |
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License Number State |
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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 | 6494
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC6494
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License Number State | CA
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