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General NPI Number Information
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NPI Number | 1437466901
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Entity Type | Organization
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Legal Business Name | RADIANT CHIROPRACTIC AND ACUPUNCTURE
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Dates
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Enumeration Date | 09/07/2010
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 525 W. REMINGTON DR. STE 120
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City | SUNNYVALE
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State | CA
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Zip | 94087
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Country | US
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Telephone | 408-749-1558
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Fax | 408-749-0928
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Provider Business Mailing Address
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Address Line | 525 W. REMINGTON DR. STE 120
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City | SUNNYVALE
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State | CA
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Zip | 94087
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Country | US
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Telephone | 408-749-1558
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Fax | 408-749-0928
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Authorized Official
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Title or Position | OWNER
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Name | DR. TONY M. WOO
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Credential | DC, LAC
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Telephone | 408-749-1558
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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 | AC 12302
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 29274
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License Number State | CA
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