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General NPI Number Information
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NPI Number | 1154894582
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Entity Type | Organization
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Legal Business Name | DREAM ACUPUNCTURE, INC
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 01/08/2019
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Provider Practice Location Address
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Address Line | 621 S VIRGIL AVE STE 205
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City | LOS ANGELES
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State | CA
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Zip | 90005-4000
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Country | US
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Telephone | 310-701-7840
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Fax |
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Provider Business Mailing Address
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Address Line | 621 S VIRGIL AVE STE 205
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City | LOS ANGELES
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State | CA
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Zip | 90005-4000
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Country | US
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Telephone | 310-701-7840
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUNGHUN JIN
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Credential |
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Telephone | 213-433-8546
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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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