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General NPI Number Information
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NPI Number | 1821140393
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Entity Type | Individual
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Provider Name | MARK CHINGCHUAN TSAI DC & LAC
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Gender | Male
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 316 EAST H STREET SUITE 701A
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City | CHULA VISTA
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State | CA
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Zip | 91910-5304
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Country | US
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Telephone | 619-422-6130
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Fax | 619-422-6170
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Provider Business Mailing Address
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Address Line | 316 EAST H STREET SUITE 701A
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City | CHULA VISTA
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State | CA
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Zip | 91910-5304
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Country | US
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Telephone | 619-422-6130
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Fax | 619-422-6170
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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 | 24643
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 8609
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License Number State | CA
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