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General NPI Number Information
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NPI Number | 1346512613
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Entity Type | Organization
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Legal Business Name | TON SHEN HEALTH
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 3100 DUNDEE RD UNIT 402
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City | NORTHBROOK
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State | IL
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Zip | 60062-2437
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Country | US
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Telephone | 847-770-6295
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Fax |
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Provider Business Mailing Address
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Address Line | 2131 S ARCHER AVE UNIT B-C
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City | CHICAGO
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State | IL
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Zip | 60616-1809
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Country | US
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Telephone | 312-842-2775
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. FABIAN FAN
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Credential |
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Telephone | 312-842-2775
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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 | 2663-0478
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License Number State | IL
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