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General NPI Number Information
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NPI Number | 1093286312
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Entity Type | Individual
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Provider Name | LOUIE LU DAIM. L.AC.
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Gender | Male
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Dates
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Enumeration Date | 12/14/2018
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 612 W DUARTE RD STE 105
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City | ARCADIA
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State | CA
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Zip | 91007-9222
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Country | US
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Telephone | 909-490-4913
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Fax | 626-226-5562
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Provider Business Mailing Address
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Address Line | 907 S EVANWOOD AVE
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City | WEST COVINA
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State | CA
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Zip | 91790-3920
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Country | US
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Telephone | 909-490-4913
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Fax | 626-226-5562
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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 | 18320
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License Number State | CA
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