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General NPI Number Information
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NPI Number | 1306867445
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Entity Type | Organization
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Legal Business Name | NORTHERN CALIFORNIA HEALTH AND ACUPUNCTURE
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 375 CASTRO ST SUITE A
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-1205
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Country | US
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Telephone | 650-320-0008
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 391510
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94039-1510
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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 | PRESIDENT
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Name | DR. JENNY SHI
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Credential | L.AC.
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Telephone | 650-320-0008
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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 | AC 4327
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License Number State | CA
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