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General NPI Number Information
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NPI Number | 1164797635
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Entity Type | Individual
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Provider Name | VERONICA ANGKIANGCO JOSEPH D.O.M.
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Gender | Female
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Dates
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Enumeration Date | 03/17/2012
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 2535 CAMINO DEL RIO S STE 230
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City | SAN DIEGO
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State | CA
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Zip | 92108-3795
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Country | US
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Telephone | 442-888-0086
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Fax |
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Provider Business Mailing Address
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Address Line | 885 LEPPERT CT
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City | SAN DIEGO
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State | CA
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Zip | 92114-3037
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Country | US
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Telephone | 442-888-0086
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Fax | 888-958-0711
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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 | 1074
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License Number State | NM
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