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General NPI Number Information
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NPI Number | 1740767706
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Entity Type | Organization
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Legal Business Name | GEORGE HWANG ACUPUNCTURE CLINIC, INC.
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 10430 S DE ANZA BLVD STE 195
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City | CUPERTINO
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State | CA
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Zip | 95014-3006
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Country | US
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Telephone | 408-454-8267
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Fax | 408-693-3744
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Provider Business Mailing Address
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Address Line | 6640 CANTERBURY CT
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City | SAN JOSE
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State | CA
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Zip | 95129-3870
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Country | US
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Telephone | 408-454-8267
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHENG-CHIN HWANG
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Credential | PHD.
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Telephone | 408-221-5796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 15898
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 15898
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License Number State | CA
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