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General NPI Number Information
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NPI Number | 1689004756
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Entity Type | Organization
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Legal Business Name | M.Y. ACUPUNCTURE
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Dates
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Enumeration Date | 11/26/2013
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 60 FENTON ST #6
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City | LIVERMORE
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State | CA
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Zip | 94550-4148
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Country | US
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Telephone | 925-337-0246
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Fax |
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Provider Business Mailing Address
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Address Line | 60 FENTON ST #6
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City | LIVERMORE
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State | CA
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Zip | 94550-4148
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Country | US
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Telephone | 925-337-0246
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. TSE M YEH
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Credential | L.AC.
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Telephone | 925-337-0246
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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 15090
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License Number State | CA
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