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General NPI Number Information
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NPI Number | 1851267579
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Entity Type | Organization
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Legal Business Name | KANG FU CENTER INC.
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 1615 N BROADWAY
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City | WALNUT CREEK
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State | CA
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Zip | 94596-4222
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Country | US
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Telephone | 925-930-5639
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Fax | 925-930-5699
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Provider Business Mailing Address
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Address Line | 1615 N BROADWAY
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City | WALNUT CREEK
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State | CA
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Zip | 94596-4222
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Country | US
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Telephone | 925-930-5639
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Fax | 925-930-5699
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Authorized Official
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Title or Position | CEO
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Name | DR. QUAN SUN
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Credential | L.AC.
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Telephone | 925-550-0085
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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 |
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License Number State |
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