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General NPI Number Information
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NPI Number | 1295385573
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Entity Type | Organization
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Legal Business Name | BEAUTY WITHIN ACUPUNCTURE & WELLNESS, INC.
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Dates
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Enumeration Date | 09/18/2019
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 12341 NEWPORT AVE STE D100
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City | NORTH TUSTIN
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State | CA
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Zip | 92705-3289
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Country | US
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Telephone | 949-424-3393
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Fax |
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Provider Business Mailing Address
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Address Line | 12341 NEWPORT AVE STE D100
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City | NORTH TUSTIN
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State | CA
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Zip | 92705-3289
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Country | US
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Telephone | 949-424-3393
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LYDIA AU
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Credential | L.AC., DACM
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Telephone | 714-463-0432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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