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General NPI Number Information
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NPI Number | 1063894707
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Entity Type | Organization
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Legal Business Name | NEW HOPE & LIFE ACUPUNCTURE INC.
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 440 SHATTO PL STE 425
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City | LOS ANGELES
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State | CA
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Zip | 90020-1793
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Country | US
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Telephone | 213-263-2809
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Fax | 213-263-2809
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Provider Business Mailing Address
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Address Line | 440 SHATTO PLACE, SUITE 425
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City | LOS ANGELES
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State | CA
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Zip | 90020
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Country | US
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Telephone | 213-263-2809
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KU HYON SHIN
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Credential |
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Telephone | 213-263-2809
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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 | CA16388
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License Number State | CA
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