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General NPI Number Information
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NPI Number | 1437565975
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Entity Type | Organization
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Legal Business Name | FELICITY ORIENTAL HEALTHCARE
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Dates
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Enumeration Date | 07/04/2014
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Last Update Date | 07/04/2014
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Provider Practice Location Address
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Address Line | 251 OCONNOR DR SUITE 1
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City | SAN JOSE
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State | CA
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Zip | 95128-1656
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Country | US
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Telephone | 408-352-5666
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Fax |
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Provider Business Mailing Address
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Address Line | 251 OCONNOR DR SUITE 1
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City | SAN JOSE
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State | CA
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Zip | 95128-1656
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Country | US
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Telephone | 408-352-5666
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KELVIN SHIH-TAI LIU
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Credential | O.M.D.
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Telephone | 408-352-5666
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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 | AC 16127
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License Number State | CA
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