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General NPI Number Information
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NPI Number | 1558708818
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Entity Type | Organization
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Legal Business Name | GD ACUPUNCTURE CORP
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Dates
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Enumeration Date | 05/28/2013
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 9670 LAS TUNAS DR
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City | TEMPLE CITY
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State | CA
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Zip | 91780-2139
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Country | US
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Telephone | 626-286-1377
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Fax | 626-286-1377
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Provider Business Mailing Address
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Address Line | 9670 LAS TUNAS DRIVE
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City | TEMPLE CITY
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State | CA
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Zip | 91780
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Country | US
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Telephone | 626-286-1377
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Fax | 626-286-1377
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHY TRUONG
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Credential |
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Telephone | 626-286-1377
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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 | AC11957
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License Number State | CA
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