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General NPI Number Information
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NPI Number | 1912552688
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Entity Type | Organization
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Legal Business Name | ACUHERB MEDICAL GROUP
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 08/08/2019
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Provider Practice Location Address
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Address Line | 999 SARATOGA AVE STE 30
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City | SAN JOSE
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State | CA
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Zip | 95129-2300
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Country | US
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Telephone | 408-889-3998
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 SOUTHWEST EXPY APT 141
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City | SAN JOSE
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State | CA
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Zip | 95126-3984
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Country | US
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Telephone | 408-889-3998
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | YANG LI
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Credential | ACUPUNCTURIST
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Telephone | 408-889-3998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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