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General NPI Number Information
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NPI Number | 1720383409
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Entity Type | Individual
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Provider Name | SHIN HEE CHO VAN LIEU L.AC
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Gender | Female
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Dates
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Enumeration Date | 01/11/2011
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 341 WESTLAKE CTR SUITE 261
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City | DALY CITY
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State | CA
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Zip | 94015-1441
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Country | US
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Telephone | 650-784-3155
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Fax |
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Provider Business Mailing Address
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Address Line | 26 MAYFIELD AVE
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City | DALY CITY
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State | CA
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Zip | 94015-3959
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Country | US
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Telephone | 650-784-3155
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Fax |
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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 13119
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License Number State | CA
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