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NPI 1679591655

NPI 1679591655 : LIN YE L.AC : SANTA CLARA, CA

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General NPI Number Information
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    NPI Number           |    1679591655
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    Entity Type          |    Individual 
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    Provider Name        |    LIN YE L.AC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/17/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3246 MCKINLEY DR 
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    City                 |    SANTA CLARA
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    State                |    CA
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    Zip                  |    95051-6765
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    Country              |    US
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    Telephone            |    408-247-3232
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    Fax                  |    408-247-3203
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Provider Business Mailing Address
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    Address Line         |    3246 MCKINLEY DR 
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    City                 |    SANTA CLARA
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    State                |    CA
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    Zip                  |    95051-6765
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    Country              |    US
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    Telephone            |    408-247-3232
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    Fax                  |    408-247-3203
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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       |    AC-6692
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    License Number State |    CA
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