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General NPI Number Information
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NPI Number | 1578343513
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Entity Type | Organization
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Legal Business Name | EMPOWERED YOU ACUPUNCTURE INC
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Dates
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Enumeration Date | 10/05/2023
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 504 S BREA BLVD
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City | BREA
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State | CA
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Zip | 92821-5304
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Country | US
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Telephone | 909-978-7266
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Fax |
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Provider Business Mailing Address
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Address Line | 324 S DIAMOND BAR BLVD # 1015
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1607
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Country | US
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Telephone | 909-978-7266
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ERICA YANG
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Credential | MTOM, L.AC
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Telephone | 909-978-7266
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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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