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General NPI Number Information
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NPI Number | 1386809689
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Entity Type | Organization
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Legal Business Name | DRAGON ACUPUNCTURE & HERB CENTER, INC.
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Dates
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Enumeration Date | 07/25/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 18 ENDEAVOR STE 301
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City | IRVINE
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State | CA
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Zip | 92618-3177
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Country | US
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Telephone | 949-727-0898
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Fax |
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Provider Business Mailing Address
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Address Line | 18 ENDEAVOR STE 301
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City | IRVINE
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State | CA
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Zip | 92618-3177
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Country | US
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Telephone | 949-727-0898
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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. MIN SHI
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Credential | PH.D., L.AC.
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Telephone | 949-300-9620
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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 | AC7972
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC7089
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License Number State | CA
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