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General NPI Number Information
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NPI Number | 1275973422
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Entity Type | Individual
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Provider Name | NAPICH BOONYAKIAT DAOM, LAC.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1253 VINE ST STE 10
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City | LOS ANGELES
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State | CA
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Zip | 90038-1662
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Country | US
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Telephone | 323-747-0987
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Fax | 323-395-9428
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Provider Business Mailing Address
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Address Line | 15126 POLLY AVE
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City | LAWNDALE
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State | CA
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Zip | 90260-2445
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Country | US
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Telephone |
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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 | AC15437
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License Number State | CA
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