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General NPI Number Information
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NPI Number | 1174074603
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Entity Type | Organization
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Legal Business Name | TAT HEALTH GROUP LLC
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 9868 LAS TUNAS DR
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City | TEMPLE CITY
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State | CA
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Zip | 91780-2208
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Country | US
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Telephone | 626-451-6801
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Fax | 888-283-0927
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Provider Business Mailing Address
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Address Line | 9868 LAS TUNAS DR
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City | TEMPLE CITY
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State | CA
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Zip | 91780-2208
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Country | US
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Telephone | 626-451-6801
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Fax | 888-283-0927
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Authorized Official
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Title or Position | CEO
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Name | MRS. JIANGHUA LIU
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Credential |
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Telephone | 909-896-4598
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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 | AC10885
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License Number State | CA
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