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General NPI Number Information
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NPI Number | 1366102097
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Entity Type | Organization
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Legal Business Name | L-A ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 12/21/2021
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Last Update Date | 03/12/2022
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Provider Practice Location Address
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Address Line | 15466 LOS GATOS BLVD STE 214
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City | LOS GATOS
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State | CA
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Zip | 95032-2551
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Country | US
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Telephone | 650-769-0860
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Fax | 888-281-3073
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Provider Business Mailing Address
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Address Line | 15466 LOS GATOS BLVD STE 214
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City | LOS GATOS
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State | CA
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Zip | 95032-2551
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Country | US
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Telephone | 650-769-0860
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Fax | 888-281-3073
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LINGYAN LIU
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Credential | L. AC
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Telephone | 650-769-0860
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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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