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General NPI Number Information
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NPI Number | 1538484431
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Entity Type | Organization
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Legal Business Name | ACTIVE ACUPUNCTURE PARTNERS INC.
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 18988 COX AVE SUITE C
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City | SARATOGA
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State | CA
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Zip | 95070-4154
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Country | US
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Telephone | 408-621-5332
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Fax | 888-887-5012
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Provider Business Mailing Address
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Address Line | 18988 COX AVE SUITE C
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City | SARATOGA
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State | CA
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Zip | 95070-4154
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Country | US
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Telephone | 408-621-5332
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Fax | 888-887-5012
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Authorized Official
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Title or Position | L.AC.
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Name | JUN CAO
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Credential |
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Telephone | 408-621-5332
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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 | AC11508
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License Number State | CA
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