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General NPI Number Information
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NPI Number | 1407672389
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Entity Type | Organization
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Legal Business Name | KANGFULIN NATUROPATHY CENTER, LLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 3699 NE JOHN OLSEN AVE UNIT 2
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City | HILLSBORO
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State | OR
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Zip | 97124-5815
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Country | US
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Telephone | 971-406-9079
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Fax |
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Provider Business Mailing Address
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Address Line | 3699 NE JOHN OLSEN AVE UNIT 2
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City | HILLSBORO
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State | OR
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Zip | 97124-5815
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Country | US
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Telephone | 971-406-9079
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DINGDING WANG
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Credential |
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Telephone | 971-226-6906
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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