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General NPI Number Information
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NPI Number | 1649505736
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Entity Type | Individual
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Provider Name | HUI-JU ELLEN WEN L.AC
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Gender | Female
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 10/07/2009
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Provider Practice Location Address
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Address Line | 111 W EVELYN AVE SUITE 105
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City | SUNNYVALE
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State | CA
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Zip | 94086-6146
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Country | US
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Telephone | 408-569-8883
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 210316
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-0316
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Country | US
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Telephone | 415-235-5958
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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 | 13147
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License Number State | CA
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