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General NPI Number Information
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NPI Number | 1467310474
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Entity Type | Organization
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Legal Business Name | JACK TIAN ACUPUNCTURE
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 5043 GRAVES AVE STE F
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City | SAN JOSE
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State | CA
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Zip | 95129-5103
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Country | US
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Telephone | 650-960-5673
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 SPACE PARK WAY SPC 100
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94043-1403
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Country | US
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Telephone | 650-960-5673
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | KUN TIAN
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Credential |
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Telephone | 650-960-5673
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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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