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General NPI Number Information
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NPI Number | 1841092061
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Entity Type | Individual
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Provider Name | TIAN LUAN
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Gender | Female
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 2950 N GLASSELL ST STE B
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City | ORANGE
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State | CA
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Zip | 92865-1080
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Country | US
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Telephone | 646-206-3116
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Fax |
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Provider Business Mailing Address
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Address Line | 5058 GRAND AVE
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City | MONTCLAIR
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State | CA
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Zip | 91763-6440
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Country | US
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Telephone |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC20030
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License Number State | CA
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