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NPI 1538645346

NPI 1538645346 : CHLOE QUANG L.AC. : IRVINE, CA

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General NPI Number Information
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    NPI Number           |    1538645346
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    Entity Type          |    Individual 
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    Provider Name        |    CHLOE QUANG L.AC.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/15/2018
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    Last Update Date     |    07/15/2018
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Provider Practice Location Address
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    Address Line         |    250 E YALE LOOP STE D 
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92604-4697
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    Country              |    US
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    Telephone            |    949-546-9151
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    250 E YALE LOOP STE D 
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92604-4697
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    Country              |    US
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    Telephone            |    949-546-9151
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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       |    18184
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    License Number State |    CA
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