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General NPI Number Information
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NPI Number | 1679354385
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Entity Type | Organization
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Legal Business Name | WONDER ACUPUNCTURE INC
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Dates
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Enumeration Date | 10/09/2023
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Last Update Date | 10/11/2023
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Provider Practice Location Address
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Address Line | 114 ROYCE ST STE E
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City | LOS GATOS
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State | CA
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Zip | 95030-6041
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Country | US
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Telephone | 408-827-5293
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1052
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City | SOQUEL
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State | CA
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Zip | 95073-1052
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Country | US
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Telephone | 718-689-3688
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. PARISA CORI
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Credential | L.AC.
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Telephone | 718-689-3688
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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 |
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License Number State |
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