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General NPI Number Information
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NPI Number | 1437560729
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Entity Type | Organization
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Legal Business Name | LING WANG ACUPUNCTURE
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Dates
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Enumeration Date | 05/08/2014
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Last Update Date | 05/08/2014
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Provider Practice Location Address
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Address Line | 475 EL CAMINO REAL STE 418
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City | MILLBRAE
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State | CA
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Zip | 94030-2643
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Country | US
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Telephone | 408-930-1585
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Fax |
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Provider Business Mailing Address
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Address Line | 475 EL CAMINO REAL STE 418
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City | MILLBRAE
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State | CA
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Zip | 94030-2643
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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 | OFFICE BILLING MANAGER
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Name | KUN XIA
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Credential |
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Telephone | 650-253-3159
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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 | CA
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