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General NPI Number Information
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NPI Number | 1609928613
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Entity Type | Organization
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Legal Business Name | WENYING NIE
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 2100 FOREST AVE SUITE 112
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City | SAN JOSE
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State | CA
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Zip | 95128-4160
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Country | US
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Telephone | 408-800-3577
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Fax | 408-800-3577
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Provider Business Mailing Address
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Address Line | 2100 FOREST AVE SUITE 112
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City | SAN JOSE
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State | CA
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Zip | 95128-4160
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Country | US
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Telephone | 408-800-3577
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Fax | 408-800-3577
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Authorized Official
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Title or Position | OWNER L.A.C
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Name | WENYING NIE
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Credential |
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Telephone | 408-800-3577
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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 | L.AC. 5457
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License Number State | CA
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