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General NPI Number Information
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NPI Number | 1679936777
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Entity Type | Organization
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Legal Business Name | NEX'S TRADITIONAL CHINESE MEDICINE
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 1150 N GAREY AVE
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City | POMONA
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State | CA
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Zip | 91767
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Country | US
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Telephone | 909-629-8787
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Fax | 909-629-8787
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Provider Business Mailing Address
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Address Line | 1150 N GAREY AVE
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City | POMONA
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State | CA
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Zip | 91767-3804
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE
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Name | DR. XIAONING ZHU I
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Credential | D
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Telephone | 909-629-8787
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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 | AC14956
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License Number State | CA
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