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General NPI Number Information
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NPI Number | 1639190341
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Entity Type | Individual
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Provider Name | SHI PING LU LAC PHD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1800 BROADWAY ST STE 2
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City | REDWOOD CITY
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State | CA
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Zip | 94063-2086
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Country | US
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Telephone | 650-568-0608
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Fax | 650-568-0678
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Provider Business Mailing Address
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Address Line | 583 LANYARD DR
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City | REDWOOD CITY
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State | CA
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Zip | 94065-1507
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Country | US
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Telephone | 650-654-4043
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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 | CA9229
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License Number State | CA
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