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General NPI Number Information
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NPI Number | 1629634928
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Entity Type | Individual
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Provider Name | RUBEN HONG L.AC.
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Gender | Male
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 1256 W CHANDLER BLVD STE 32
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City | CHANDLER
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State | AZ
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Zip | 85224-5226
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Country | US
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Telephone | 480-630-1977
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7875
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City | CHANDLER
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State | AZ
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Zip | 85246-7875
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Country | US
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Telephone |
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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 |
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License Number State |
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