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NPI Code Detail

MEDICARE: TAO SUN O.M.D.

MEDICARE:   TAO  SUN  O.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist325195-1201UT

General Provider Information

NPI Number : 1528126745
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAO SUN O.M.D.
Provider Business Mailing Address
First Line : 160 S 1000 E # 128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-1428
Country : US
Telephone Number : 801-355-8668
Fax Number : 801-322-2188
Provider Business Practice Location Address
First Line : 160 S 1000 E
Second Line : #128
City : SALT LAKE CITY
State : UT
Zip : 84102-1428
Country : US
Telephone Number : 801-355-8668
Fax Number : 801-322-2188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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Directions to “ TAO SUN O.M.D.” Practice Location

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