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General NPI Number Information
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NPI Number | 1144602020
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Entity Type | Organization
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Legal Business Name | CJ HEALTH&WELLNESS
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 6881 STANTON AVE STE C1
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City | BUENA PARK
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State | CA
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Zip | 90621-3675
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Country | US
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Telephone | 714-523-7486
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Fax | 714-523-7486
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Provider Business Mailing Address
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Address Line | 6881 STANTON AVE STE C1
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City | BUENA PARK
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State | CA
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Zip | 90621-3675
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Country | US
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Telephone | 714-523-7486
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Fax | 714-523-7486
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHRIS B KIM
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Credential |
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Telephone | 714-523-7486
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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 |
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License Number State |
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