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General NPI Number Information
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NPI Number | 1518098243
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Entity Type | Organization
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Legal Business Name | VALLEY ACUPUNCTURE AND HERB CENTER, INC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/23/2012
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Provider Practice Location Address
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Address Line | 2031 W ALAMEDA AVE SUITE 206
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City | BURBANK
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State | CA
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Zip | 91506-2958
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Country | US
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Telephone | 818-843-1558
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Fax | 818-843-3385
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Provider Business Mailing Address
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Address Line | 2031 W ALAMEDA AVE SUITE 206
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City | BURBANK
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State | CA
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Zip | 91506-2958
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Country | US
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Telephone | 818-843-1558
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Fax | 818-843-3385
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Authorized Official
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Title or Position | LA.C
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Name | MS. MINDY MINHONG DAI
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Credential |
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Telephone | 818-843-1558
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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 | AC7755
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License Number State | CA
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