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NPI Code Detail

MEDICARE: DR. TZUCHIANG FAN D.C.

MEDICARE: DR. TZUCHIANG FAN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor32815CA
2111NR0200XRadiology Chiropractor2301009276MI

General Provider Information

NPI Number : 1598826943
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TZUCHIANG FAN D.C.
Provider Business Mailing Address
First Line : 4645 ARMOUR DR
Second Line :
City : SANTA CLARA
State : CA
Zip : 49441-3586
Country : US
Telephone Number : 408-772-4963
Fax Number :
Provider Business Practice Location Address
First Line : 4645 ARMOUR DR
Second Line :
City : SANTA CLARA
State : CA
Zip : 95054-1602
Country : US
Telephone Number : 408-772-4963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 05/01/2014

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