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NPI 1275097792

NPI 1275097792 : MR. WENHUA HUANG : CUPERTINO, CA

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General NPI Number Information
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    NPI Number           |    1275097792
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    Entity Type          |    Individual 
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    Provider Name        |    MR. WENHUA HUANG
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/29/2019
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    Last Update Date     |    11/02/2021
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Provider Practice Location Address
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    Address Line         |    11701 SOUTHSHORE CT 
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    City                 |    CUPERTINO
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    State                |    CA
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    Zip                  |    95014-5144
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    Country              |    US
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    Telephone            |    408-205-7748
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11701 SOUTHSHORE CT 
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    City                 |    CUPERTINO
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    State                |    CA
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    Zip                  |    95014-5144
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    Country              |    US
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    Telephone            |    408-205-7748
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    18404
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    License Number State |    CA
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