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General NPI Number Information
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NPI Number | 1609215474
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Entity Type | Individual
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Provider Name | XUEWEN ZHANG L.AC, PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 14471 CHAMBERS RD STE 105
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City | TUSTIN
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State | CA
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Zip | 92780-6969
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Country | US
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Telephone | 626-373-6037
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Fax |
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Provider Business Mailing Address
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Address Line | 14471 CHAMBERS RD STE 105
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City | TUSTIN
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State | CA
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Zip | 92780-6969
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Country | US
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Telephone | 626-373-6037
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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 | AC 15490
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License Number State | CA
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