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General NPI Number Information
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NPI Number | 1740566785
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Entity Type | Organization
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Legal Business Name | HERO-BEARING MEDICAL CENTER, INC
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Dates
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Enumeration Date | 10/21/2011
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Last Update Date | 10/21/2011
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Provider Practice Location Address
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Address Line | 2225 S KING RD
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City | SAN JOSE
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State | CA
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Zip | 95122-2518
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Country | US
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Telephone | 408-729-3816
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Fax | 408-729-7269
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Provider Business Mailing Address
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Address Line | 2225 S KING RD
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City | SAN JOSE
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State | CA
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Zip | 95122-2518
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Country | US
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Telephone | 408-729-3816
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Fax | 408-729-7269
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Authorized Official
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Title or Position | C.E.O.
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Name | GE LU
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Credential | L. AC., PH.D.
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Telephone | 408-729-3816
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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 5948
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License Number State | CA
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