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General NPI Number Information
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NPI Number | 1982016408
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Entity Type | Organization
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Legal Business Name | HONG WEI ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 1630 OAKLAND RD STE A117
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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 | 408-436-8055
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Fax |
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Provider Business Mailing Address
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Address Line | 6755 TUNBRIDGE WAY
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City | SAN JOSE
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State | CA
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Zip | 95120-2129
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Country | US
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Telephone | 408-927-5408
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | YUCHI KU
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Credential |
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Telephone | 408-436-8055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | AC9881
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License Number State | CA
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