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General NPI Number Information
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NPI Number | 1649048521
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Entity Type | Individual
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Provider Name | YUANRUI LIANG L.AC
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Gender | Female
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 510 N 13TH AVE STE 104
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City | UPLAND
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State | CA
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Zip | 91786-4973
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Country | US
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Telephone | 909-345-1860
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Fax |
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Provider Business Mailing Address
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Address Line | 527 GARDEN AVE
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City | POMONA
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State | CA
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Zip | 91767-2277
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Country | US
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Telephone | 626-223-9932
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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 | 19878
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License Number State | CA
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