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General NPI Number Information
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NPI Number | 1619407277
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Entity Type | Organization
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Legal Business Name | KUNDE TIBETAN WELLNESS HEALING CENTER, LLC
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 341 WESTLAKE CTR STE 343
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City | DALY CITY
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State | CA
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Zip | 94015-1443
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Country | US
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Telephone | 415-681-1643
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Fax | 415-580-6117
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Provider Business Mailing Address
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Address Line | 341 WESTLAKE CTR STE 343
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City | DALY CITY
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State | CA
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Zip | 94015-1443
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Country | US
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Telephone | 415-681-1643
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Fax | 415-580-6117
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Authorized Official
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Title or Position | CEO
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Name | MISS YANGDRON KALZANG
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Credential | LAC.
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Telephone | 415-681-1643
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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 |
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License Number State |
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