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NPI 1942762257

NPI 1942762257 : HEALTHY & BEAUTY MEDICAL CENTER : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1942762257
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTHY & BEAUTY MEDICAL CENTER 
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Dates
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    Enumeration Date     |    04/04/2019
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    Last Update Date     |    04/04/2019
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Provider Practice Location Address
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    Address Line         |    1630 OAKLAND RD STE A118 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95131-2461
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    Country              |    US
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    Telephone            |    408-597-2261
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    336 N CULLEN AVE 
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    City                 |    GLENDORA
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    State                |    CA
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    Zip                  |    91741-2723
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    Country              |    US
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    Telephone            |    408-597-2261
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    Fax                  |    408-904-5056
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CHAOPING  DING 
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    Credential           |    
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    Telephone            |    408-597-2261
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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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