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General NPI Number Information
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NPI Number | 1972676062
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Entity Type | Organization
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Legal Business Name | OHAI ACUPUNCTURE GROUP
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 925 E SAN ANTONIO DR SUITE #16
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City | LONG BEACH
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State | CA
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Zip | 90807-2210
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Country | US
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Telephone | 562-423-2288
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Fax | 562-423-2299
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Provider Business Mailing Address
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Address Line | 925 E SAN ANTONIO DR SUITE #16
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City | LONG BEACH
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State | CA
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Zip | 90807-2210
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Country | US
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Telephone | 562-423-2288
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Fax | 562-423-2299
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. I LING SUN
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Credential | LAC
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Telephone | 562-423-2288
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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 | LAC 5439
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License Number State | CA
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