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General NPI Number Information
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NPI Number | 1093296881
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Entity Type | Individual
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Provider Name | VACHIRAWIT KANJANAPUNCHOKE
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Gender | Male
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 1354 N HIGHLAND AVE
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City | LOS ANGELES
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State | CA
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Zip | 90028-7609
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Country | US
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Telephone | 213-655-4105
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Fax |
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Provider Business Mailing Address
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Address Line | 8313 FOUNTAIN AVE APT C
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-2910
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Country | US
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Telephone | 323-338-1373
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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 | AC18182
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License Number State | CA
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