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General NPI Number Information
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NPI Number | 1326409459
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Entity Type | Organization
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Legal Business Name | FENG SUN LLC
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 05/21/2016
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Provider Practice Location Address
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Address Line | 155 MAIN ST
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City | WOODLAND
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State | CA
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Zip | 95695
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Country | US
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Telephone | 530-650-8119
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 245931
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City | SACRAMENTO
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State | CA
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Zip | 95824
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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
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Name | FENG YUN HE
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Credential | L.AC
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Telephone | 916-833-2682
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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 |
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License Number State |
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