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General NPI Number Information
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NPI Number | 1528204617
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Entity Type | Organization
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Legal Business Name | ZHAO ACUPUNCTURE
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Dates
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Enumeration Date | 12/19/2008
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 1101 S WINCHESTER BLVD STE D-144
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City | SAN JOSE
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State | CA
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Zip | 95128-3901
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Country | US
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Telephone | 408-296-9300
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Fax | 408-350-6170
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Provider Business Mailing Address
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Address Line | 1101 S WINCHESTER BLVD STE D-144
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City | SAN JOSE
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State | CA
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Zip | 95128-3901
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Country | US
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Telephone | 408-296-9300
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Fax | 408-350-6170
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | MR. SHIZHEN ZHAO
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Credential | L.AC.
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Telephone | 408-296-9300
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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 5713
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License Number State | CA
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