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General NPI Number Information
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NPI Number | 1417448309
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Entity Type | Organization
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Legal Business Name | TEN YI WELLNESS
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/25/2018
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Provider Practice Location Address
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Address Line | 221 S EUCLID AVE
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City | PASADENA
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State | CA
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Zip | 91101-2717
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Country | US
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Telephone | 626-466-5364
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Fax | 626-578-1619
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Provider Business Mailing Address
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Address Line | 1502 S STONEMAN AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-5112
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | DR. JIAN CHING REN
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Credential | PH.D
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Telephone | 708-738-2885
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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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