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General NPI Number Information
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NPI Number | 1366908840
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Entity Type | Organization
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Legal Business Name | TANG ACUPUNCTURE CLINIC CORPORATION
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 21040 HOMESTEAD RD 102# 102#
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City | CUPERTINO
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State | CA
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Zip | 95014-0238
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Country | US
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Telephone | 408-306-0360
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Fax | 408-743-5445
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Provider Business Mailing Address
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Address Line | 21040 HOMESTEAD RD 102# 102#
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City | CUPERTINO
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State | CA
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Zip | 95014-0238
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Country | US
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Telephone | 408-306-0360
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Fax | 408-743-5445
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CAI PING DINA TANG
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Credential | PH.D
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Telephone | 408-306-0360
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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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