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General NPI Number Information
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NPI Number | 1225371800
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Entity Type | Individual
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Provider Name | ANDY HUANG L.AC., DAOM, OM
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Gender | Male
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 10502 PERALTA CT
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City | CUPERTINO
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State | CA
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Zip | 95014-6568
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Country | US
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Telephone | 408-489-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 10502 PERALTA CT
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City | CUPERTINO
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State | CA
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Zip | 95014-6568
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Country | US
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Telephone | 650-210-8686
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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 | 154560
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 15164
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License Number State | CA
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