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General NPI Number Information
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NPI Number | 1942715503
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Entity Type | Individual
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Provider Name | KUANPING HUANG
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Gender | Male
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 11 ORCHARD STE 109
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City | LAKE FOREST
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State | CA
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Zip | 92630-8319
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Country | US
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Telephone | 626-678-4810
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Fax |
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Provider Business Mailing Address
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Address Line | 11 TOROSA
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City | LAKE FOREST
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State | CA
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Zip | 92630-8911
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Country | US
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Telephone | 626-678-4810
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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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 | 17076
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License Number State | CA
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