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General NPI Number Information
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NPI Number | 1447415559
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Entity Type | Organization
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Legal Business Name | X'S ACUPUNCTURE AND HERB
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 1740 HUNTINGTON DR STE 102
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City | DUARTE
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State | CA
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Zip | 91010-3850
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Country | US
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Telephone | 626-359-7808
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Fax |
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Provider Business Mailing Address
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Address Line | 1740 HUNTINGTON DR STE 102
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City | DUARTE
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State | CA
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Zip | 91010-3850
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Country | US
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Telephone | 626-359-7808
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MING ZHAO
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Credential | ACUPUNCTURIST
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Telephone | 626-359-7808
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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 | 3033509
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License Number State | CA
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