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General NPI Number Information
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NPI Number | 1164147542
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Entity Type | Organization
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Legal Business Name | MANHATTAN WELLNESS CTR INC
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Dates
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Enumeration Date | 10/07/2022
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 15901 HAWTHORNE BLVD STE 115
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City | LAWNDALE
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State | CA
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Zip | 90260-2766
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Country | US
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Telephone | 310-912-1110
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Fax | 424-452-6190
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Provider Business Mailing Address
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Address Line | 15901 HAWTHORNE BLVD STE 115
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City | LAWNDALE
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State | CA
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Zip | 90260-2766
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Country | US
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Telephone | 310-912-1110
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Fax | 424-452-6190
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Authorized Official
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Title or Position | EXECUTIVE
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Name | SANGSIK JIN
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Credential |
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Telephone | 310-912-1110
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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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