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General NPI Number Information
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NPI Number | 1790590966
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Entity Type | Organization
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Legal Business Name | PERFECT LIFE WELLNESS CORPORATION
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 1046 W TAYLOR ST STE 102A
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City | SAN JOSE
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State | CA
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Zip | 95126-1815
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Country | US
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Telephone | 650-302-7838
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Fax |
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Provider Business Mailing Address
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Address Line | 4548 VIA MADRID
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City | UNION CITY
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State | CA
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Zip | 94587-3862
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Country | US
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Telephone | 650-766-8757
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | HONGJIANG WANG
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Credential |
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Telephone | 650-766-8757
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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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