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General NPI Number Information
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NPI Number | 1336321801
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Entity Type | Organization
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Legal Business Name | RELAX ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 123 ASTRONAUT E S ONIZUKA ST STE 313
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City | LOS ANGELES
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State | CA
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Zip | 90012-3846
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Country | US
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Telephone | 213-687-8999
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Fax |
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Provider Business Mailing Address
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Address Line | 123 ASTRONAUT E S ONIZUKA ST STE 313
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City | LOS ANGELES
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State | CA
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Zip | 90012-3846
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Country | US
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Telephone | 213-687-8999
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALAN YANG
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Credential | L.AC,
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Telephone | 213-687-8999
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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 | AC10978
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License Number State | CA
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