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NPI 1588379598

NPI 1588379598 : HE AN ACUPUNCTURE INC : MILPITAS, CA

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General NPI Number Information
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    NPI Number           |    1588379598
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    Entity Type          |    Organization 
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    Legal Business Name  |    HE AN ACUPUNCTURE INC 
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Dates
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    Enumeration Date     |    01/16/2023
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    Last Update Date     |    01/16/2023
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Provider Practice Location Address
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    Address Line         |    676 PRADA DR 
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    City                 |    MILPITAS
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    State                |    CA
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    Zip                  |    95035-4027
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    Country              |    US
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    Telephone            |    510-509-8733
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    676 PRADA DR 
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    City                 |    MILPITAS
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    State                |    CA
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    Zip                  |    95035-4027
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     ANNIE  LIU 
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    Credential           |    
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    Telephone            |    510-509-8733
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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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