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General NPI Number Information
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NPI Number | 1922571389
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Entity Type | Individual
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Provider Name | ZEYU WANG
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Gender | Male
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Dates
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Enumeration Date | 01/09/2019
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Last Update Date | 04/25/2019
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Provider Practice Location Address
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Address Line | 201 EL CAMINO REAL
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City | MILLBRAE
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State | CA
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Zip | 94030
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Country | US
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Telephone | 650-684-7651
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Fax |
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Provider Business Mailing Address
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Address Line | 660 EL CAMINO REAL STE 100
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City | MILLBRAE
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State | CA
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Zip | 94030-2060
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Country | US
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Telephone | 510-676-1133
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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 | 18376
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License Number State | CA
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