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General NPI Number Information
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NPI Number | 1407997570
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Entity Type | Organization
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Legal Business Name | DR. SUN'S ACUPUNCTURE CENTER, P.C.
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4275 ROSEWOOD DR SUITE 29
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City | PLEASANTON
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State | CA
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Zip | 94588-3489
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Country | US
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Telephone | 925-463-8686
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Fax | 925-463-8086
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Provider Business Mailing Address
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Address Line | 4275 ROSEWOOD DR SUITE 29
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City | PLEASANTON
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State | CA
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Zip | 94588-3489
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Country | US
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Telephone | 925-463-8686
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Fax | 925-463-8086
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Authorized Official
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Title or Position | CEO
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Name | MRS. HAILI SUN
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Credential | L.AC., O.M.D.
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Telephone | 925-463-8686
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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 | AC6999
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License Number State | CA
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