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General NPI Number Information
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NPI Number | 1326242413
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE & HERBOLOGY CENTER, INC.
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1530 LINCOLN BLVD SUITE D
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City | SANTA MONICA
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State | CA
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Zip | 90401-2741
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Country | US
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Telephone | 310-866-3911
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 MONTANA AVE SUITE #628
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City | SANTA MONICA
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State | CA
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Zip | 90403-1652
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Country | US
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Telephone | 310-866-3911
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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. YAN QIU HU
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Credential | O.M.D., L.AC.
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Telephone | 310-866-3911
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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 10671
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License Number State | CA
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