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General NPI Number Information
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NPI Number | 1265602403
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Entity Type | Individual
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Provider Name | MINGZHU PEARL SUN LAC
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Gender | Female
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 03/04/2008
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Provider Practice Location Address
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Address Line | 13540 W CAMINO DEL SOL SUITE 10
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-4435
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Country | US
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Telephone | 623-556-9686
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Fax | 623-556-9686
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Provider Business Mailing Address
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Address Line | 6971 W POTTER DR
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City | GLENDALE
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State | AZ
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Zip | 85308-9472
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Country | US
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Telephone | 623-825-9381
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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 | 0027
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License Number State | AZ
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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 | AC5954
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License Number State | CA
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