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General NPI Number Information
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NPI Number | 1518489384
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Entity Type | Organization
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Legal Business Name | NEW LIFE ACUPUNCTURE LLC
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1720 S AMPHLETT BLVD STE 168
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City | SAN MATEO
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State | CA
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Zip | 94402-2710
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Country | US
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Telephone | 650-572-1628
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 S AMPHLETT BLVD STE 168
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City | SAN MATEO
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State | CA
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Zip | 94402-2710
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Country | US
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Telephone | 916-833-2682
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHUNLEI HE
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Credential |
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Telephone | 510-693-3628
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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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