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General NPI Number Information
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NPI Number | 1497191118
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Entity Type | Individual
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Provider Name | KAILE WU L.AC.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2013
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 15100 LOS GATOS BLVD STE 1
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City | LOS GATOS
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State | CA
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Zip | 95032-2028
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Country | US
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Telephone | 408-357-0295
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Fax |
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Provider Business Mailing Address
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Address Line | 936 SANDPIPER LN
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City | PALO ALTO
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State | CA
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Zip | 94303-4255
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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 |
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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 | 14430
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License Number State | CA
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