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General NPI Number Information
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NPI Number | 1134679160
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Entity Type | Organization
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Legal Business Name | P&C DRAGON ACUPUNCTURE HERB CENTER INC
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 22917 SOLEDAD CANYON RD
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City | SAUGUS
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State | CA
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Zip | 91350-2633
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Country | US
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Telephone | 661-255-1898
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Fax |
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Provider Business Mailing Address
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Address Line | 22917 SOLEDAD CANYON RD
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City | SAUGUS
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State | CA
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Zip | 91350-2633
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Country | US
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Telephone | 661-255-1898
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | PAI HSIANG PENG
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Credential |
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Telephone | 626-872-8277
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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 | AC12971
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License Number State | CA
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