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NPI 1679437255

NPI 1679437255 : RESEARCH-BASED ACUPUNCTURE : SCOTTS VALLEY, CA

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General NPI Number Information
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    NPI Number           |    1679437255
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    Entity Type          |    Organization 
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    Legal Business Name  |    RESEARCH-BASED ACUPUNCTURE 
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Dates
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    Enumeration Date     |    12/09/2025
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    4301 SCOTTS VALLEY DR STE 2 
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    City                 |    SCOTTS VALLEY
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    State                |    CA
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    Zip                  |    95066-4525
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    Country              |    US
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    Telephone            |    831-346-8252
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    Fax                  |    831-480-2308
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Provider Business Mailing Address
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    Address Line         |    4301 SCOTTS VALLEY DR STE 2 
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    City                 |    SCOTTS VALLEY
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    State                |    CA
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    Zip                  |    95066-4525
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    Country              |    US
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    Telephone            |    831-346-8252
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    Fax                  |    831-480-2308
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. FENGLI  LAN 
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    Credential           |    PHD
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    Telephone            |    831-346-8252
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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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