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General NPI Number Information
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NPI Number | 1073807186
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Entity Type | Organization
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Legal Business Name | NOEL ACUPUNCTURE & HERBS, INC
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 4482 BARRANCA PKWY 224
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City | IRVINE
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State | CA
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Zip | 92604-7701
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Country | US
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Telephone | 949-398-7644
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Fax | 949-398-7645
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Provider Business Mailing Address
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Address Line | 4482 BARRANCA PKWY 224
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City | IRVINE
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State | CA
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Zip | 92604-7701
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MIN KYEONG KWON
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Credential |
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Telephone | 949-398-7644
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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 | AC10356
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License Number State | CA
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