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General NPI Number Information
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NPI Number | 1861943144
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Entity Type | Organization
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Legal Business Name | SUN ACUPUNCTURE INC
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 12175 SARATOGA SUNNYVALE RD SUITE A
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City | SARATOGA
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State | CA
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Zip | 95070-3077
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Country | US
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Telephone | 408-839-3907
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Fax |
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Provider Business Mailing Address
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Address Line | 12175 SARATOGA SUNNYVALE RD SUITE A
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City | SARATOGA
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State | CA
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Zip | 95070-3077
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Country | US
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Telephone | 408-839-3907
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZHISHENG SUN
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Credential |
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Telephone | 408-839-3907
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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 | AC13141
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License Number State | CA
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