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General NPI Number Information
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NPI Number | 1437720158
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Entity Type | Organization
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Legal Business Name | HC ACUPUNCTURE & WELLNESS CORPORATION
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Dates
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Enumeration Date | 07/03/2021
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Last Update Date | 07/03/2021
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Provider Practice Location Address
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Address Line | 424 N LAKE AVE STE 102
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City | PASADENA
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State | CA
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Zip | 91101-1202
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Country | US
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Telephone | 626-365-7569
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Fax |
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Provider Business Mailing Address
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Address Line | 424 N LAKE AVE STE 102
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City | PASADENA
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State | CA
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Zip | 91101-1202
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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 | OWNER
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Name | HENRY CHEN
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Credential | L.AC
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Telephone | 626-365-7569
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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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