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General NPI Number Information
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NPI Number | 1922459809
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Entity Type | Organization
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Legal Business Name | SANG SHEN ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 06/22/2016
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Last Update Date | 06/22/2016
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Provider Practice Location Address
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Address Line | 2500 OLD CROW CANYON RD SUITE 310
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City | SAN RAMON
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State | CA
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Zip | 94583-1623
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Country | US
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Telephone | 925-683-6484
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Fax | 925-476-1139
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Provider Business Mailing Address
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Address Line | 4096 PIEDMONT AVE #139
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City | OAKLAND
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State | CA
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Zip | 94611-5221
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Country | US
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Telephone | 925-683-6484
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Fax | 925-476-1139
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANGELA I ROSEN
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Credential | L.AC.
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Telephone | 925-683-6484
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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 | 10848
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License Number State | CA
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