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General NPI Number Information
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NPI Number | 1871072728
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Entity Type | Individual
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Provider Name | DEVIN G WU DAOM, L.AC., P.T.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2018
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 1014 CLEMENT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118
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Country | US
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Telephone | 415-750-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 CLEMENT ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-2113
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Country | US
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Telephone | 650-619-5858
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC11028
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License Number State | CA
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