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General NPI Number Information
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NPI Number | 1861590010
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Entity Type | Organization
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Legal Business Name | BONA HEALTH INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17451 BASTANCHURY RD 101F
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City | YORBA LINDA
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State | CA
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Zip | 92886-1857
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Country | US
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Telephone | 714-223-6866
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Fax | 714-223-6886
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Provider Business Mailing Address
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Address Line | 17451 BASTANCHURY RD 101F
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City | YORBA LINDA
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State | CA
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Zip | 92886-1857
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Country | US
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Telephone | 714-223-6866
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Fax | 714-223-6886
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Authorized Official
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Title or Position | CEO
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Name | JING ZHANG
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Credential | L AC
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Telephone | 714-223-6866
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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 | LAC7592
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License Number State | CA
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