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General NPI Number Information
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NPI Number | 1093352106
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Entity Type | Individual
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Provider Name | SARAH HUNG LAC
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Gender | Female
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Dates
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Enumeration Date | 12/09/2019
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 134 N YORK ST
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City | ELMHURST
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State | IL
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Zip | 60126-2806
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Country | US
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Telephone | 331-462-1167
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Fax |
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Provider Business Mailing Address
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Address Line | 6S110 PARK MEADOW DR APT 10C
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City | NAPERVILLE
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State | IL
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Zip | 60540-3825
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Country | US
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Telephone | 630-800-5643
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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 | 198001495
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License Number State | IL
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