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General NPI Number Information
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NPI Number | 1053046060
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Entity Type | Organization
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Legal Business Name | WENCHE CHUNG, MD & KUOTING LEE, LAC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/22/2022
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 909 S SANTA ANITA AVE STE B
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City | ARCADIA
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State | CA
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Zip | 91006-2363
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Country | US
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Telephone | 626-464-6800
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Fax | 626-226-5858
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Provider Business Mailing Address
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Address Line | 2131 HOMET RD
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City | SAN MARINO
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State | CA
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Zip | 91108-1325
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Country | US
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Telephone | 626-464-6800
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Fax | 626-226-5858
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Authorized Official
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Title or Position | DR.
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Name | DR. WENCHE CHUNG
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Credential | MD
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Telephone | 626-710-8766
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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