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General NPI Number Information
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NPI Number | 1003549874
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Entity Type | Organization
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Legal Business Name | LIVING ACUPUNCTURE
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 1510 W VERDUGO AVE STE D
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City | BURBANK
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State | CA
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Zip | 91506-2473
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Country | US
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Telephone | 818-558-7146
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Fax | 818-558-7217
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Provider Business Mailing Address
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Address Line | 1510 W VERDUGO AVE STE D
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City | BURBANK
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State | CA
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Zip | 91506-2473
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Country | US
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Telephone | 818-558-7146
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Fax | 818-558-7217
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Authorized Official
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Title or Position | FOUNDER
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Name | JUNG KI KIM
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Credential | DAOM
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Telephone | 818-558-7146
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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 |
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License Number State |
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