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General NPI Number Information
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NPI Number | 1609278399
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Entity Type | Individual
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Provider Name | SIMON CHI CHING CHOW L.AC.
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Gender | Male
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 10132 BERKSHIRE CT
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City | CUPERTINO
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State | CA
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Zip | 95014-5600
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Country | US
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Telephone | 408-533-2446
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Fax | 408-865-0301
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Provider Business Mailing Address
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Address Line | 10132 BERKSHIRE CT
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City | CUPERTINO
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State | CA
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Zip | 95014-5600
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Country | US
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Telephone | 408-533-2446
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Fax | 408-865-0301
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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 | AC14599
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH41414
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License Number State | CA
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