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General NPI Number Information
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NPI Number | 1972962249
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE MEDICAL CENTER
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 5435 BALBOA BLVD SUITE 207
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City | ENCINO
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State | CA
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Zip | 91316-1508
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Country | US
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Telephone | 818-736-7365
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Fax |
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Provider Business Mailing Address
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Address Line | 5435 BALBOA BLVD SUITE 207
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City | ENCINO
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State | CA
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Zip | 91316-1508
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Country | US
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Telephone | 818-736-7365
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. HONGYAN LI
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Credential |
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Telephone | 818-736-7365
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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 | L.AC 15966
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License Number State | CA
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