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General NPI Number Information
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NPI Number | 1801116033
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Entity Type | Individual
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Provider Name | KEVIN HUANG CHIROPRACTIC, D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 2020 S HACIENDA BLVD STE D
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-4265
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Country | US
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Telephone | 714-209-6987
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Fax |
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Provider Business Mailing Address
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Address Line | 4866 TREMEZZO DR
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City | CYPRESS
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State | CA
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Zip | 90630-3557
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Country | US
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Telephone | 714-209-6987
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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 | 31340
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License Number State | CA
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