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General NPI Number Information
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NPI Number | 1942615968
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Entity Type | Organization
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Legal Business Name | SOUTH VALLEY HEALTH CENTER
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Dates
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Enumeration Date | 06/28/2014
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 5710 CAHALAN AVE G6 STE I
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City | SAN JOSE
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State | CA
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Zip | 95123-3010
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Country | US
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Telephone | 408-431-9399
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 360273
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City | MILPITAS
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State | CA
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Zip | 95036-0273
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Country | US
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Telephone | 415-812-6527
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GRACE YU
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Credential |
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Telephone | 415-812-6527
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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 | AC5647
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License Number State | CA
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