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General NPI Number Information
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NPI Number | 1295281277
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Entity Type | Organization
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Legal Business Name | FENG YE ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 3275 STEVENS CREEK BLVD STE 301
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City | SAN JOSE
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State | CA
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Zip | 95117-1107
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Country | US
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Telephone | 408-645-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 3275 STEVENS CREEK BLVD STE 301
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City | SAN JOSE
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State | CA
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Zip | 95117-1107
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Country | US
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Telephone | 408-645-8686
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. XIAOYUN LI
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Credential | L. AC
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Telephone | 408-645-8686
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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 | 15282
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License Number State | CA
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