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General NPI Number Information
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NPI Number | 1154081685
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Entity Type | Organization
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Legal Business Name | ALEX KIM ACUPUNCTURE &HERBAL MEDICINE LLC
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Dates
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Enumeration Date | 12/24/2021
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 1520 LILIHA ST STE 402
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City | HONOLULU
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State | HI
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Zip | 96817-3563
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Country | US
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Telephone | 808-744-6448
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 LILIHA ST STE 402
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City | HONOLULU
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State | HI
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Zip | 96817-3563
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Country | US
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Telephone | 808-744-6448
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEX KIM
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Credential |
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Telephone | 808-219-5355
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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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