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General NPI Number Information
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NPI Number | 1346755394
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Entity Type | Organization
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Legal Business Name | SANDY CHUANG ACUPUNCTURE
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Dates
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Enumeration Date | 12/12/2017
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 4959 PALO VERDE ST STE 208C-5
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City | MONTCLAIR
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State | CA
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Zip | 91763-2360
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Country | US
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Telephone | 909-255-9708
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Fax |
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Provider Business Mailing Address
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Address Line | 4959 PALO VERDO ST, #208C-5
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City | MONTCLAIR
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State | CA
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Zip | 91763
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Country | US
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Telephone | 909-255-9708
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Fax |
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Authorized Official
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Title or Position | DAOM
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Name | YA LAN CHUANG
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Credential | DOCTOR OF ACUPUNCTUR
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Telephone | 626-248-6339
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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 | AC15493
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License Number State | CA
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