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General NPI Number Information
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NPI Number | 1023484813
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Entity Type | Organization
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Legal Business Name | A KWAN ACUPUNCTURE
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 223 E THOUSAND OAKS BLVD STE 216
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5803
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Country | US
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Telephone | 805-294-0192
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Fax | 866-543-8845
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Provider Business Mailing Address
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Address Line | 1534 N MOORPARK RD STE 215
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5129
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Country | US
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Telephone | 805-294-0192
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Fax | 866-543-8845
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ABEL KWAN
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Credential | OMD, LAC
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Telephone | 805-294-0192
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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 | 3369
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License Number State | CA
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