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General NPI Number Information
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NPI Number | 1841417847
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Entity Type | Individual
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Provider Name | FARLEY CHUI HOM LAC, OTRL
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 2990 S SEPULVEDA BLVD SIUTE 205
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City | LOS ANGELES
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State | CA
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Zip | 90064-0002
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Country | US
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Telephone | 310-561-5657
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Fax |
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Provider Business Mailing Address
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Address Line | 3715 JASMINE AVE APT 7
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City | LOS ANGELES
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State | CA
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Zip | 90034-5954
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Country | US
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Telephone | 310-561-5657
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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 | 10759
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 5481
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License Number State | CA
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