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General NPI Number Information
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NPI Number | 1366516346
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Entity Type | Individual
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Provider Name | TAMMY PAK L.AC
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 299 W HILLCREST DR STE 206
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-7836
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Country | US
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Telephone | 805-432-4936
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Fax |
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Provider Business Mailing Address
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Address Line | 15738 LAHEY ST
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City | GRANADA HILLS
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State | CA
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Zip | 91344-4339
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Country | US
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Telephone | 818-425-3416
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9408
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License Number State | CA
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