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General NPI Number Information
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NPI Number | 1992116115
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Entity Type | Organization
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Legal Business Name | EVERCARE HEALTH CENTER
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Dates
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Enumeration Date | 05/09/2014
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 9726 LAS TUNAS DR
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City | TEMPLE CITY
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State | CA
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Zip | 91780-2242
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Country | US
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Telephone | 626-382-8878
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80576
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City | SAN MARINO
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State | CA
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Zip | 91118-8576
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Country | US
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Telephone | 626-382-8878
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | QIUSHENG ZHENG
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Credential | L.AC
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Telephone | 626-382-8878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | AC16013
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License Number State | CA
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