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General NPI Number Information
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NPI Number | 1477029098
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Entity Type | Organization
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Legal Business Name | NEW CENTURY PAIN CLINIC
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 4880 STEVENS CREEK BLVD STE 205B
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City | SAN JOSE
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State | CA
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Zip | 95129-1034
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Country | US
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Telephone | 650-678-8909
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Fax |
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Provider Business Mailing Address
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Address Line | 220 TWIN DOLPHIN DR STE B
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City | REDWOOD CITY
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State | CA
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Zip | 94065-1488
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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 | MANAGER
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Name | WEIYING HUANG
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Credential |
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Telephone | 415-971-6659
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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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