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General NPI Number Information
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NPI Number | 1205161866
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Entity Type | Organization
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Legal Business Name | CENTER FOR COMPASSIONATE HEALING ART
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 751 S RICHMOND RD STE G
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City | RIDGECREST
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State | CA
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Zip | 93555-8217
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Country | US
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Telephone | 760-977-8834
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 93206
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City | CITY OF INDUSTRY
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State | CA
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Zip | 91715-3206
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Country | US
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Telephone | 760-977-8834
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Fax |
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Authorized Official
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Title or Position | CHIEF ACUPUNCTURIST
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Name | WEN TSUN
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Credential | L.AC.
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Telephone | 760-977-8834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AC2615
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License Number State | CA
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