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General NPI Number Information
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NPI Number | 1609960467
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Entity Type | Organization
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Legal Business Name | HEALTH ENERGY RESTORATION, INC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 2409 19TH AVE #A3
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City | SAN FRANCISCO
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State | CA
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Zip | 94116
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Country | US
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Telephone | 415-681-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 1607 40TH AVE.
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City | SAN FRANCISCO
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State | CA
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Zip | 94122
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Country | US
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Telephone | 415-681-1188
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GARY WU
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Credential |
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Telephone | 415-681-1188
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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 | AC10829
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC9758
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License Number State | CA
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