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General NPI Number Information
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NPI Number | 1720329550
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Entity Type | Organization
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Legal Business Name | LIGHT & JOY ACUPUNCTURE INC.
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Dates
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Enumeration Date | 03/04/2013
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 3880 S BASCOM AVE STE 113
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City | SAN JOSE
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State | CA
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Zip | 95124-2600
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Country | US
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Telephone | 408-357-0295
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32442
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City | SAN JOSE
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State | CA
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Zip | 95152-2442
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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 | OWNER
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Name | YOEVITA WRENSCH
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Credential | L.AC.
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Telephone | 408-384-9794
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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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