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General NPI Number Information
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NPI Number | 1417841446
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE CARE ALLIANCE
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 24202 SYLVAN GLEN RD UNIT D
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City | DIAMOND BAR
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State | CA
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Zip | 91765-4500
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Country | US
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Telephone | 949-878-5656
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Fax |
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Provider Business Mailing Address
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Address Line | 24202 SYLVAN GLEN RD UNIT D
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City | DIAMOND BAR
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State | CA
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Zip | 91765-4500
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Country | US
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Telephone | 949-878-5656
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | HAVEN HAU TRAN
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Credential | L.AC., MAOM
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Telephone | 949-878-5656
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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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