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General NPI Number Information
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NPI Number | 1356548754
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Entity Type | Organization
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Legal Business Name | VINCENT KAN, L.AC. INC.
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 950 RALSTON AVE
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City | BELMONT
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State | CA
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Zip | 94002-2208
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Country | US
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Telephone | 415-350-2738
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Fax |
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Provider Business Mailing Address
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Address Line | 950 RALSTON AVE
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City | BELMONT
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State | CA
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Zip | 94002-2208
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Country | US
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Telephone | 415-350-2738
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VINCENT C KAN
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Credential | L.AC.
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Telephone | 415-350-2738
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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 | AC1361
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License Number State | CA
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