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General NPI Number Information
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NPI Number | 1780920595
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Entity Type | Individual
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Provider Name | DANNY TU KHOUNH LOM, L.AC, DAOM
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Gender | Male
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 12/02/2023
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Provider Practice Location Address
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Address Line | 258 S STATE ST STE 2
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City | NEWTOWN
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State | PA
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Zip | 18940-3527
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Country | US
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Telephone | 215-322-6035
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Fax | 267-797-5100
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Provider Business Mailing Address
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Address Line | 1220 LINDEN AVE
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City | YARDLEY
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State | PA
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Zip | 19067-7416
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Country | US
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Telephone | 215-322-6035
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Fax | 267-797-5100
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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 | OM000162
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License Number State | PA
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