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General NPI Number Information
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NPI Number | 1811390206
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Entity Type | Organization
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Legal Business Name | HOANG ACUPUNCTURE AND WELLNESS
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 910 CAMINO DEL MAR SUITE H
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City | DEL MAR
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State | CA
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Zip | 92014-2800
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Country | US
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Telephone | 858-336-6288
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Fax |
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Provider Business Mailing Address
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Address Line | 5021 BARSTOW ST
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City | SAN DIEGO
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State | CA
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Zip | 92117-1424
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Country | US
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Telephone | 858-336-6288
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GLORIA YEE HOANG
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Credential | L.AC.
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Telephone | 858-336-6288
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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 | 16180
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License Number State | CA
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