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General NPI Number Information
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NPI Number | 1316283021
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Entity Type | Organization
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Legal Business Name | LONGTENG INTERNATIONAL INC
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Dates
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Enumeration Date | 12/27/2012
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 2512 WALNUT AVE STE 4
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City | TUSTIN
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State | CA
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Zip | 92780-6944
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Country | US
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Telephone | 949-331-5716
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Fax |
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Provider Business Mailing Address
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Address Line | 3792 BLACKTHORN ST
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City | IRVINE
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State | CA
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Zip | 92606-2604
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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 | OWNER/MANAGER
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Name | JIANJUN FENG
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Credential |
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Telephone | 949-331-5716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 15023
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License Number State | CA
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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 | AC 14841
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License Number State | CA
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