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General NPI Number Information
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NPI Number | 1619034386
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Entity Type | Organization
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Legal Business Name | PINDY & DANNY, INC.
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 1301 EASTMAN LN
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City | PETALUMA
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State | CA
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Zip | 94952-1659
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Country | US
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Telephone | 707-763-7442
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Fax | 707-782-9628
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Provider Business Mailing Address
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Address Line | 1301 EASTMAN LN
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City | PETALUMA
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State | CA
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Zip | 94952-1659
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Country | US
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Telephone | 707-763-7442
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Fax | 707-782-9628
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PINDY Y WONG
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Credential | L.AC., O.M.D., PH.D.
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Telephone | 707-763-7442
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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 | AC5584
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License Number State | CA
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