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General NPI Number Information
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NPI Number | 1033573399
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Entity Type | Organization
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Legal Business Name | RAAH ACUPUNCTURE, INC
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 04/12/2016
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Provider Practice Location Address
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Address Line | 3407 W 6TH ST STE 702
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City | LOS ANGELES
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State | CA
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Zip | 90020-2537
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Country | US
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Telephone | 323-422-4964
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Fax | 877-366-7722
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Provider Business Mailing Address
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Address Line | 3407 W 6TH ST STE 702
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City | LOS ANGELES
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State | CA
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Zip | 90020-2537
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Country | US
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Telephone | 323-422-4964
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Fax | 877-366-7722
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Authorized Official
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Title or Position | CEO
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Name | EUI YOUNG CHUNG
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Credential | L.AC.
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Telephone | 323-422-4964
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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 | AC16103
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License Number State | CA
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