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General NPI Number Information
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NPI Number | 1063118966
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Entity Type | Individual
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Provider Name | YOUNG SAM SOHN L.AC
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Gender | Male
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 16051 COMPRINT CIR
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1320
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Country | US
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Telephone | 301-893-4124
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Fax |
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Provider Business Mailing Address
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Address Line | 16051 COMPRINT CIR
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1320
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Country | US
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Telephone | 301-893-4124
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | U02963
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License Number State | MD
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