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General NPI Number Information
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NPI Number | 1841731247
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Entity Type | Organization
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Legal Business Name | SHEN'S ACUPUNCTURE AND CHINESE HERB INC.
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Dates
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Enumeration Date | 03/17/2017
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Last Update Date | 03/17/2017
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Provider Practice Location Address
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Address Line | 1100 CARVER RD STE P2
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City | MODESTO
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State | CA
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Zip | 95350-4788
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Country | US
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Telephone | 209-527-6478
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Fax | 209-527-6914
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Provider Business Mailing Address
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Address Line | 1100 CARVER RD STE P2
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City | MODESTO
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State | CA
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Zip | 95350-4788
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Country | US
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Telephone | 209-527-6478
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Fax | 209-527-6914
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Authorized Official
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Title or Position | PHYSICIAN
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Name | HUA SHU SHEN
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Credential | PHD
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Telephone | 209-527-6478
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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 | AC0044901
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License Number State | CA
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