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General NPI Number Information
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NPI Number | 1316124365
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Entity Type | Organization
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Legal Business Name | G M HEALTH CLINIC
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 02/05/2008
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Provider Practice Location Address
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Address Line | 1008 A E GARVEY AVENUE
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City | MONTEREY PARK
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State | CA
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Zip | 91755
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Country | US
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Telephone | 626-288-6339
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Fax | 626-288-6339
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Provider Business Mailing Address
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Address Line | 1008 A E GARVEY AVENUE
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City | MONTEREY PARK
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State | CA
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Zip | 91755
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Country | US
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Telephone | 626-288-6339
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Fax | 626-288-6339
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Authorized Official
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Title or Position | ACUPUNCTURE DR OWNER
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Name | ZHI MIAN ZHOU
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Credential | CERTIFIED ACUPUNCTUR
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Telephone | 626-288-6339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CA1179
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC0031770
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License Number State | CA
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