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General NPI Number Information
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NPI Number | 1295499085
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Entity Type | Organization
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Legal Business Name | BETA RECOVERY ACUPUNCTURE, INC
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 248 W MAIN ST
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City | LOS GATOS
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State | CA
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Zip | 95030-6817
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Country | US
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Telephone | 650-215-3522
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Fax |
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Provider Business Mailing Address
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Address Line | 49 SHOWERS DR APT L474
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-4788
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. CHUNBEI FENG
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Credential | L. AC.
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Telephone | 650-215-3522
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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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