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General NPI Number Information
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NPI Number | 1477614667
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Entity Type | Individual
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Provider Name | PETER SUN L.AC.
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Gender | Male
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 18438 COLIMA RD SUITE #10A
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-5819
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Country | US
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Telephone | 626-617-3065
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Fax | 760-357-0688
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Provider Business Mailing Address
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Address Line | PO BOX 5535
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-0535
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Country | US
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Telephone | 626-617-3065
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Fax | 760-357-0688
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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 | AC 9950
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License Number State | CA
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