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General NPI Number Information
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NPI Number | 1154597557
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Entity Type | Organization
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Legal Business Name | ZEN CARE CHIROPRACTIC WELLNESS CENTER
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 6612 IRVINE CENTER DRIVE
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City | IRVINE
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State | CA
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Zip | 92618
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Country | US
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Telephone | 949-727-1772
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Fax | 949-727-1782
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Provider Business Mailing Address
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Address Line | 6612 IRVINE CENTER DRIVE
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City | IRVINE
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State | CA
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Zip | 92618
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Country | US
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Telephone | 949-727-1772
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Fax | 949-727-1782
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHRISTINE SOO HA
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Credential |
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Telephone | 626-833-1486
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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 | AC10527
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License Number State | CA
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