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General NPI Number Information
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NPI Number | 1871977397
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Entity Type | Organization
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Legal Business Name | Y'S NATURE WELLNESS
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 917 SAN RAMON VALLEY BLVD STE 295
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City | DANVILLE
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State | CA
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Zip | 94526-4064
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Country | US
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Telephone | 925-208-1996
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Fax |
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Provider Business Mailing Address
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Address Line | 5006 TYLER LN
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-1521
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LIANG YU KUNG
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Credential |
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Telephone | 510-709-7761
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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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