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General NPI Number Information
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NPI Number | 1508054420
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Entity Type | Individual
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Provider Name | MRS. ANN TUNG
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Gender | Female
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 10/04/2007
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Provider Practice Location Address
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Address Line | 10787 S BLANEY AVE
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City | CUPERTINO
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State | CA
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Zip | 95014-4500
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Country | US
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Telephone | 408-410-7821
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Fax |
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Provider Business Mailing Address
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Address Line | 12111 KIRKBROOK DR
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City | SARATOGA
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State | CA
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Zip | 95070-3203
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Country | US
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Telephone |
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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 | AC11253
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License Number State | CA
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