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General NPI Number Information
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NPI Number | 1508087271
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Entity Type | Organization
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Legal Business Name | LOS ALTOS ACUPUNCTURE CENTER
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 811 ALTOS OAKS DR STE 1
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City | LOS ALTOS
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State | CA
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Zip | 94024-5427
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Country | US
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Telephone | 408-221-6458
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Fax | 650-559-0719
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Provider Business Mailing Address
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Address Line | 811 ALTOS OAKS DR STE 1
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City | LOS ALTOS
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State | CA
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Zip | 94024-5427
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Country | US
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Telephone | 408-221-6458
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Fax | 650-228-1528
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Authorized Official
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Title or Position | L.AC.
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Name | PROF. XIAOFEN SHEN
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Credential | L.AC.
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Telephone | 408-221-6458
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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 | AC. 0045510
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License Number State | CA
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