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General NPI Number Information
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NPI Number | 1083093314
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Entity Type | Individual
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Provider Name | SANG HYUN UM
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Gender | Male
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 07/06/2018
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Provider Practice Location Address
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Address Line | 322 N SAN DIMAS AVE
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City | SAN DIMAS
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State | CA
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Zip | 91773
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Country | US
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Telephone | 626-688-9257
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Fax |
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Provider Business Mailing Address
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Address Line | 264 S SAN DIMAS AVE
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City | SAN DIMAS
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State | CA
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Zip | 91773-3037
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Country | US
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Telephone | 626-688-9257
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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 16497
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License Number State | CA
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