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NPI 1548274756

NPI 1548274756 : STEPHEN SANG-UK CHUNG D.C., L.AC. : TORRANCE, CA

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General NPI Number Information
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    NPI Number           |    1548274756
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHEN SANG-UK CHUNG D.C., L.AC.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/27/2006
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    Last Update Date     |    10/22/2007
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Provider Practice Location Address
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    Address Line         |    3447 TORRANCE BLVD 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90503-5801
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    Country              |    US
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    Telephone            |    310-792-4373
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    Fax                  |    310-792-4372
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Provider Business Mailing Address
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    Address Line         |    3447 TORRANCE BLVD 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90503-5801
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    Country              |    US
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    Telephone            |    310-792-4373
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    Fax                  |    310-792-4372
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    DC27215
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    AC6979
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    License Number State |    CA
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