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General NPI Number Information
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NPI Number | 1477981041
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Entity Type | Organization
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Legal Business Name | WU SHU ACUPUNCTURE
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Dates
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Enumeration Date | 10/17/2013
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Last Update Date | 10/17/2013
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Provider Practice Location Address
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Address Line | 117 N AVENUE 59
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City | LOS ANGELES
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State | CA
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Zip | 90042-4262
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Country | US
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Telephone | 626-737-1610
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Fax | 626-737-7146
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Provider Business Mailing Address
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Address Line | 117 N AVENUE 59
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City | LOS ANGELES
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State | CA
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Zip | 90042-4262
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Country | US
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Telephone | 626-737-1610
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Fax | 626-737-7146
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | JIMMY LIU
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Credential |
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Telephone | 626-737-1610
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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 | AC12024
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License Number State | CA
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