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NPI 1609207158

NPI 1609207158 : RUI LI WANG : SARATOGA, CA

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General NPI Number Information
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    NPI Number           |    1609207158
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    Entity Type          |    Individual 
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    Provider Name        |    RUI LI WANG
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/10/2013
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    Last Update Date     |    03/14/2025
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Provider Practice Location Address
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    Address Line         |    12280 SARATOGA SUNNYVALE RD STE 212 
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    City                 |    SARATOGA
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    State                |    CA
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    Zip                  |    95070-3066
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    Country              |    US
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    Telephone            |    408-387-2101
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6300 RASPBERRY CT 
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    City                 |    GILROY
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    State                |    CA
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    Zip                  |    95020-3425
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    Country              |    US
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    Telephone            |    408-387-2101
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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 15809
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    License Number State |    CA
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