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General NPI Number Information
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NPI Number | 1134311699
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Entity Type | Individual
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Provider Name | JUNG HEE KIM OMD
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Gender | Female
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Dates
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Enumeration Date | 08/17/2007
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Last Update Date | 08/17/2007
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Provider Practice Location Address
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Address Line | 2650 W TEMPLE ST
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City | LOS ANGELES
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State | CA
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Zip | 90026-4822
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Country | US
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Telephone | 213-383-1700
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Fax | 213-383-6940
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Provider Business Mailing Address
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Address Line | 2650 W TEMPLE ST
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City | LOS ANGELES
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State | CA
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Zip | 90026-4822
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Country | US
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Telephone | 213-383-1700
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Fax | 213-383-6940
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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 | AC6251
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License Number State | CA
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