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NPI 1467776393

NPI 1467776393 : KAI CHIA KEVIN MIN O.M.D., L.AC. : SANTA CLARA, CA

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General NPI Number Information
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    NPI Number           |    1467776393
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    Entity Type          |    Individual 
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    Provider Name        |    KAI CHIA KEVIN MIN O.M.D., L.AC.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/22/2010
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    Last Update Date     |    03/26/2013
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Provider Practice Location Address
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    Address Line         |    3234 MCKINLEY DR 
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    City                 |    SANTA CLARA
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    State                |    CA
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    Zip                  |    95051-6765
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    Country              |    US
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    Telephone            |    408-929-5108
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3234 MCKINLEY DR. 
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    City                 |    SANTA CLARA
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    State                |    CA
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    Zip                  |    95051
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    Country              |    US
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    Telephone            |    408-888-7960
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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       |    
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    License Number State |    CA
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