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General NPI Number Information
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NPI Number | 1467640615
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Entity Type | Organization
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Legal Business Name | GER RICHARD YANG ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 2901 W MACARTHUR BLVD SUITE 106
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City | SANTA ANA
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State | CA
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Zip | 92704-6910
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Country | US
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Telephone | 714-697-0931
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 W MACARTHUR BLVD SUITE 106
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City | SANTA ANA
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State | CA
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Zip | 92704-6910
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Country | US
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Telephone | 714-697-0931
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Fax |
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Authorized Official
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Title or Position | ACUPUNTURIST
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Name | GER RICHARD YANG
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Credential |
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Telephone | 714-697-0931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AC10526
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License Number State | CA
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