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NPI 1588121032

NPI 1588121032 : HOPE INTEGRATIVE ACUPUNCTURE AND REHABILITATION SERVICES, INC : LOS GATOS, CA

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General NPI Number Information
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    NPI Number           |    1588121032
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOPE INTEGRATIVE ACUPUNCTURE AND REHABILITATION SERVICES, INC 
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Dates
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    Enumeration Date     |    02/20/2019
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    Last Update Date     |    02/20/2019
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Provider Practice Location Address
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    Address Line         |    15466 LOS GATOS BLVD STE 109187 
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    City                 |    LOS GATOS
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    State                |    CA
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    Zip                  |    95032-2542
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    Country              |    US
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    Telephone            |    408-480-8875
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15466 LOS GATOS BLVD STE 109187 
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    City                 |    LOS GATOS
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    State                |    CA
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    Zip                  |    95032-2542
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    Country              |    US
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    Telephone            |    408-480-8875
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. JAMES C LU 
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    Credential           |    LAC, DPT
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    Telephone            |    832-202-7666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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