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General NPI Number Information
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NPI Number | 1699587881
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Entity Type | Organization
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Legal Business Name | DAO ACUPUNCTURE AND HERB, PROFESSIONAL CORPOERATION
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 12625 HIGH BLUFF DR STE 101
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City | SAN DIEGO
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State | CA
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Zip | 92130-2053
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Country | US
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Telephone | 619-732-6896
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 721711
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City | SAN DIEGO
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State | CA
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Zip | 92172-1711
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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 | PRESIDENT
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Name | STACY TU
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Credential |
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Telephone | 619-732-6896
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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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