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General NPI Number Information
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NPI Number | 1033375787
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Entity Type | Organization
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Legal Business Name | HEALING SPRING ACUPUNCTURE & HERB, INC.
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Dates
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Enumeration Date | 08/01/2008
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Last Update Date | 08/01/2008
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Provider Practice Location Address
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Address Line | 3145 YORBA LINDA BLVD
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City | FULLERTON
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State | CA
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Zip | 92831-2307
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Country | US
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Telephone | 714-577-5303
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Fax | 714-577-5304
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Provider Business Mailing Address
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Address Line | 3145 YORBA LINDA BLVD
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City | FULLERTON
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State | CA
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Zip | 92831-2307
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Country | US
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Telephone | 714-577-5303
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Fax | 714-577-5304
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Authorized Official
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Title or Position | PRESIDENT
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Name | IN SIL LEE
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Credential | L.AC
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Telephone | 714-321-2822
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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 | AC11345
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License Number State | CA
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