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General NPI Number Information
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NPI Number | 1972958130
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Entity Type | Organization
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Legal Business Name | HEALMO THERAPY
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Dates
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Enumeration Date | 04/25/2016
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 155 MAIN ST
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City | WOODLAND
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State | CA
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Zip | 95695-3125
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Country | US
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Telephone | 669-256-6044
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Fax |
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Provider Business Mailing Address
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Address Line | 1231 GREENWAY DR
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City | RICHMOND
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State | CA
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Zip | 94803-1209
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Country | US
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Telephone | 669-256-6044
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | YUNJIN HUANG
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Credential |
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Telephone | 669-256-6044
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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 | 16945
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License Number State | CA
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