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General NPI Number Information
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NPI Number | 1619359866
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Entity Type | Organization
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Legal Business Name | TON SHEN HEALTH, INC.
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Dates
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Enumeration Date | 06/24/2015
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Last Update Date | 06/24/2015
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Provider Practice Location Address
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Address Line | 665 PASQUINELLI DR SUITE 203
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City | WESTMONT
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State | IL
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Zip | 60559-1279
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Country | US
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Telephone | 630-789-2350
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Fax |
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Provider Business Mailing Address
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Address Line | 665 PASQUINELLI DR SUITE 203
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City | WESTMONT
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State | IL
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Zip | 60559-1279
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Country | US
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Telephone | 630-789-2350
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ZHENGANG GUO
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Credential | ACUPUNCTURIST
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Telephone | 312-842-2775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | 198.000498
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License Number State | IL
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