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General NPI Number Information
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NPI Number | 1124593124
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Entity Type | Individual
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Provider Name | APINYA CHOTIPONG ZINN LMT
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Gender | Female
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Dates
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Enumeration Date | 10/05/2018
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Last Update Date | 10/06/2018
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Provider Practice Location Address
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Address Line | 16012 S WESTERN AVE STE 101
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City | GARDENA
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State | CA
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Zip | 90247-3797
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Country | US
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Telephone | 310-869-9437
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Fax |
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Provider Business Mailing Address
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Address Line | 14927 S DENKER AVE
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City | GARDENA
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State | CA
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Zip | 90247-3111
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Country | US
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Telephone | 562-362-1302
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 73572
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License Number State | CA
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