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General NPI Number Information
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NPI Number | 1396274601
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Entity Type | Organization
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Legal Business Name | MEI C CHOU ACUPUNCTURE AND HERBS, INC.
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 06/08/2017
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Provider Practice Location Address
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Address Line | 17861 BISHOP CIR
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City | VILLA PARK
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State | CA
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Zip | 92861-4136
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Country | US
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Telephone | 714-618-1808
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Fax |
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Provider Business Mailing Address
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Address Line | 17861 BISHOP CIR
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City | VILLA PARK
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State | CA
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Zip | 92861-4136
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Country | US
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Telephone | 714-618-1808
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER CHOU
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Credential | LAC
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Telephone | 714-618-1808
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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 | AC12733
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License Number State | CA
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