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General NPI Number Information
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NPI Number | 1093883217
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Entity Type | Individual
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Provider Name | VIVIAN H.Y. HUANG L.AC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 01/22/2013
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Provider Practice Location Address
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Address Line | 8896 SOUTHSIDE AVE #C
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City | ELK GROVE
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State | CA
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Zip | 95624-2231
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Country | US
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Telephone | 916-714-6802
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Fax | 916-714-6803
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Provider Business Mailing Address
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Address Line | 8896 SOUTHSIDE AVE #C
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City | ELK GROVE
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State | CA
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Zip | 95624-2231
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Country | US
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Telephone | 916-714-6802
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Fax | 916-714-6803
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | AC7301
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License Number State | CA
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