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General NPI Number Information
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NPI Number | 1093982597
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Entity Type | Organization
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Legal Business Name | BEIJING CHINESE MEDICAL GROUP
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 3545 WILSHIRE BLVD #355
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City | LOS ANGELES
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State | CA
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Zip | 90010-2354
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Country | US
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Telephone | 213-389-3818
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Fax | 213-389-3819
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Provider Business Mailing Address
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Address Line | 3545 WILSHIRE BLVD #355
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City | LOS ANGELES
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State | CA
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Zip | 90010-2354
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Country | US
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Telephone | 213-389-3818
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Fax | 213-389-3819
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | KYU HO ZEON
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Credential | L.AC
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Telephone | 213-389-3818
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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 | AC8524
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License Number State | CA
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