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General NPI Number Information
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NPI Number | 1376971325
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Entity Type | Individual
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Provider Name | SHAOYING GRACE BAI L.AC
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Gender | Female
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 03/25/2023
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Provider Practice Location Address
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Address Line | 2322 BUTANO DRIVE STE. 210A
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City | SACRAMENTO
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State | CA
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Zip | 95825
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Country | US
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Telephone | 916-483-2283
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Fax | 916-487-2856
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Provider Business Mailing Address
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Address Line | 2322 BUTANO DR STE 202
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City | SACRAMENTO
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State | CA
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Zip | 95825-0657
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Country | US
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Telephone | 916-612-6841
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Fax | 916-487-2856
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC6125
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License Number State | CA
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