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General NPI Number Information
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NPI Number | 1023462231
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Entity Type | Organization
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Legal Business Name | SOHONI ACUPUNCTURE AND HERBAL MEDICINE, INC.
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 04/24/2019
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Provider Practice Location Address
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Address Line | 20101 SW BIRCH ST STE 110
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City | NEWPORT BEACH
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State | CA
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Zip | 92660
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Country | US
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Telephone | 949-631-2200
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Fax | 949-631-2299
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Provider Business Mailing Address
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Address Line | 18685 MAIN ST. STE 101-165
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648
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Country | US
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Telephone | 949-631-2200
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Fax | 949-631-2299
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TERESA MARIE SOHONI
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Credential | LA.C.
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Telephone | 949-631-2200
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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 | AC7969
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License Number State | CA
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