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General NPI Number Information
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NPI Number | 1972656486
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Entity Type | Organization
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Legal Business Name | AMERICAN CHINESE ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 855 STOCKTON ST. SUITE B
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City | SAN FRANCISCO
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State | CA
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Zip | 94108
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Country | US
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Telephone | 415-989-2046
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Fax | 415-781-1481
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Provider Business Mailing Address
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Address Line | 855 STOCKTON ST. SUITE B
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City | SAN JOSE
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State | CA
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Zip | 94108
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Country | US
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Telephone | 415-989-2046
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Fax | 415-781-1481
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | BENSON YOU
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Credential | L.C.A.O.M.D
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Telephone | 415-989-2046
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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 | CA
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