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General NPI Number Information
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NPI Number | 1790183838
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Entity Type | Organization
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Legal Business Name | GREEN MEDICAL ENTERPRISES INC
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 11/16/2015
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Provider Practice Location Address
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Address Line | 1309 S MARY AVE 206
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City | SUNNYVALE
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State | CA
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Zip | 94087-3050
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Country | US
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Telephone | 650-996-5392
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Fax | 888-899-7561
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Provider Business Mailing Address
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Address Line | 7385 RAINBOW DR APT 5
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City | CUPERTINO
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State | CA
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Zip | 95014-5345
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Country | US
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Telephone | 650-996-9243
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Fax | 888-899-7561
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Authorized Official
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Title or Position | OWNER
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Name | ANHUI XIN
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Credential |
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Telephone | 650-996-9243
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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 | 15210
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License Number State | CA
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