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General NPI Number Information
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NPI Number | 1881790558
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Entity Type | Individual
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Provider Name | YUANCHUN HUANG L.AC, OMD
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Gender | Female
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 440 FAIR DR STE S
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City | COSTA MESA
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State | CA
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Zip | 92626-6242
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Country | US
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Telephone | 714-751-8789
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Fax | 714-751-8799
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Provider Business Mailing Address
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Address Line | 25085 MACKENZIE ST
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-5082
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Country | US
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Telephone | 714-751-8789
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Fax | 714-751-8799
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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 | AC 5963
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License Number State | CA
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