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General NPI Number Information
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NPI Number | 1457022758
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Entity Type | Individual
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Provider Name | LINGYAN LIU ACUPUNCTURIST
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Gender | Female
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Dates
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Enumeration Date | 09/26/2021
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Last Update Date | 03/03/2022
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Provider Practice Location Address
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Address Line | 15466 LOS GATOS BLVD STE 214
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City | LOS GATOS
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State | CA
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Zip | 95032-2551
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Country | US
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Telephone | 650-769-0860
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 E EL CAMINO REAL # 199
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City | SUNNYVALE
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State | CA
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Zip | 94087-3759
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Country | US
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Telephone | 650-769-0860
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC15448
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License Number State | CA
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