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General NPI Number Information
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NPI Number | 1083018402
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Entity Type | Individual
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Provider Name | SEUNGMAN YU
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Gender | Male
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 755 SUNRISE AVE STE 115
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City | ROSEVILLE
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State | CA
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Zip | 95661-4583
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Country | US
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Telephone | 916-786-6055
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Fax |
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Provider Business Mailing Address
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Address Line | 8123 SUNRISE BLVD APT 264
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City | CITRUS HEIGHTS
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State | CA
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Zip | 95610-1561
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Country | US
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Telephone | 916-586-5302
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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 | AC 15888
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License Number State | CA
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