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General NPI Number Information
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NPI Number | 1760281281
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Entity Type | Individual
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Provider Name | SUN TONG JIANG DC
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Gender | Male
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Dates
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Enumeration Date | 03/08/2025
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 3480 E ONTARIO RANCH RD STE 2A
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City | ONTARIO
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State | CA
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Zip | 91761-3919
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Country | US
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Telephone | 626-757-1539
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Fax |
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Provider Business Mailing Address
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Address Line | 124 S ALMANSOR ST
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City | ALHAMBRA
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State | CA
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Zip | 91801-3925
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Country | US
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Telephone | 626-757-1539
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC37240
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License Number State | CA
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