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General NPI Number Information
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NPI Number | 1699586792
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Entity Type | Organization
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Legal Business Name | ROAD TO WELLNESS ACUPUNCTURE INC.
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 4121 WESTERLY PL STE 113
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2331
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Country | US
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Telephone | 657-205-7163
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Fax |
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Provider Business Mailing Address
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Address Line | 22431 ANTONIO PKWY # B160-639
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2804
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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 | CEO/OWNER
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Name | DR. AMY H TRUONG
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Credential | DTCM, MPH
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Telephone | 657-205-7163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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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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