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General NPI Number Information
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NPI Number | 1528095619
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Entity Type | Organization
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Legal Business Name | BEST EASTERN ACUPUNCTURE & HERBAL CLINIC, CORP
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 1042 S SAN GABRIEL BLVD
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City | SAN GABRIEL
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State | CA
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Zip | 91776-3113
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Country | US
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Telephone | 626-287-3512
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Fax | 626-287-4210
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Provider Business Mailing Address
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Address Line | 1042 S SAN GABRIEL BLVD
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City | SAN GABRIEL
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State | CA
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Zip | 91776-3113
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Country | US
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Telephone | 626-287-3512
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Fax | 626-287-4210
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. CHARLIS TSAI
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Credential | L. AC.
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Telephone | 626-287-3512
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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 | AC1616
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License Number State | CA
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