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General NPI Number Information
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NPI Number | 1154966448
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Entity Type | Individual
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Provider Name | KAI FA HE
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Gender | Male
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 166 N MOORPARK RD STE 301
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4437
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Country | US
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Telephone | 805-405-6035
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Fax |
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Provider Business Mailing Address
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Address Line | 3872 FOXDALE CT
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City | THOUSAND OAKS
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State | CA
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Zip | 91320-4954
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Country | US
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Telephone | 805-490-1413
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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 | 11676
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License Number State | CA
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