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General NPI Number Information
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NPI Number | 1407190275
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Entity Type | Individual
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Provider Name | KUANG LIANG CHEN 15116
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Gender | Male
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 12/19/2013
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Provider Practice Location Address
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Address Line | 5855 E NAPLES PLZ STE 111
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City | LONG BEACH
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State | CA
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Zip | 90803-5077
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Country | US
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Telephone | 562-888-3399
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Fax |
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Provider Business Mailing Address
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Address Line | 4444 PEPPERWOOD AVE
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City | LONG BEACH
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State | CA
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Zip | 90808-1348
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Country | US
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Telephone | 562-888-3399
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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 | 15116
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License Number State | CA
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