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General NPI Number Information
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NPI Number | 1144726266
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Entity Type | Organization
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Legal Business Name | GOOD HANDS ACUPUNCTURE UPLAND, INC.
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 600 N EUCLID AVE STE 203
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City | UPLAND
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State | CA
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Zip | 91786
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Country | US
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Telephone | 909-243-0867
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Fax | 909-532-8666
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Provider Business Mailing Address
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Address Line | 600 N EUCLID AVE STE 203
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City | UPLAND
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State | CA
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Zip | 91786-4779
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Country | US
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Telephone | 909-243-0867
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Fax | 909-532-8666
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Authorized Official
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Title or Position | SACRETARY, ACUPUNCTURIST
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Name | HYE JIN KWON
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Credential | LAC, PHD
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Telephone | 909-243-0867
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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 | AC11702
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC13240
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License Number State | CA
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