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General NPI Number Information
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NPI Number | 1053643437
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Entity Type | Individual
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Provider Name | QUEENIE NG L. AC
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Gender | Female
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 2673 ZOE AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-4144
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Country | US
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Telephone | 323-584-4230
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7166
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City | ALHAMBRA
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State | CA
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Zip | 91802-7166
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Country | US
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Telephone | 424-645-1655
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC13189
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License Number State | CA
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