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General NPI Number Information
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NPI Number | 1104970003
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Entity Type | Organization
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Legal Business Name | ACURADIANCE
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4000 W. RIVERSIDE DR. B
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City | BURBANK
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State | CA
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Zip | 91505
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Country | US
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Telephone | 818-559-9760
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Fax | 818-559-1366
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Provider Business Mailing Address
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Address Line | 4000 W RIVERSIDE DR #B
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City | BURBANK
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State | CA
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Zip | 91505-4328
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Country | US
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Telephone | 818-559-9760
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PROF. JUNE KI CHANG
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Credential | LAC
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Telephone | 818-559-9760
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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 | 8501
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License Number State | CA
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