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General NPI Number Information
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NPI Number | 1275232696
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Entity Type | Organization
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Legal Business Name | BALANCE CARE ACUPUNCTURE & HERBS
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 13801 ROSWELL AVE STE A
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City | CHINO
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State | CA
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Zip | 91710-5466
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Country | US
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Telephone | 909-666-0884
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Fax | 909-257-8970
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Provider Business Mailing Address
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Address Line | 13801 ROSWELL AVE STE A
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City | CHINO
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State | CA
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Zip | 91710-5466
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Country | US
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Telephone | 909-666-0884
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Fax | 909-257-8970
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Authorized Official
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Title or Position | CEO
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Name | KUEI HUNG LU
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Credential | L.AC.
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Telephone | 909-666-0884
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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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