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General NPI Number Information
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NPI Number | 1174873392
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Entity Type | Organization
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Legal Business Name | KC FAMILY ACUPUNCTURE INC
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 3545 WILSHIRE BLVD #208
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City | LOS ANGELES
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State | CA
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Zip | 90010
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Country | US
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Telephone | 213-387-8175
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Fax |
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Provider Business Mailing Address
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Address Line | 3545 WILSHIRE BLVD #208
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City | LOS ANGELES
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State | CA
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Zip | 90010
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Country | US
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Telephone | 213-387-8175
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOUNG K KIM
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Credential |
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Telephone | 213-387-8175
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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 | AC14836
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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 | AC14008
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC14813
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License Number State | CA
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