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General NPI Number Information
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NPI Number | 1568817252
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Entity Type | Individual
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Provider Name | SIATNEE CHONG L.AC
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Gender | Female
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 04/29/2016
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Provider Practice Location Address
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Address Line | 1054 2ND ST
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City | ENCINITAS
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State | CA
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Zip | 92024-5009
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Country | US
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Telephone | 760-307-8801
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Fax |
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Provider Business Mailing Address
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Address Line | 7770 REGENTS RD # 113-310
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City | SAN DIEGO
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State | CA
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Zip | 92122-1937
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Country | US
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Telephone | 619-723-5566
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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 | 16983
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License Number State | CA
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