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General NPI Number Information
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NPI Number | 1982744181
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Entity Type | Individual
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Provider Name | LAM KONG L.AC., O.M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4547 PARK BLVD
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City | OAKLAND
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State | CA
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Zip | 94602-1440
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Country | US
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Telephone | 510-530-6747
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Fax |
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Provider Business Mailing Address
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Address Line | 579 VALLEJO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94133-4020
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Country | US
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Telephone | 415-397-3029
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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 | AC083
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License Number State | CA
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