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General NPI Number Information
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NPI Number | 1528432218
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Entity Type | Organization
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Legal Business Name | CHIN-WEN LAN ACUPUNCTURE
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 20272 CARREY RD
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City | WALNUT
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State | CA
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Zip | 91789-2302
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Country | US
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Telephone | 626-656-5526
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 ALTAMIRA DR
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City | WEST COVINA
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State | CA
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Zip | 91792-1904
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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 | OWNER
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Name | CHIN-WEN LAN
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Credential |
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Telephone | 626-656-5526
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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 | AC15748
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License Number State | CA
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