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General NPI Number Information
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NPI Number | 1194940023
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Entity Type | Organization
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Legal Business Name | NATURE HEALING CENTER
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 3873 SCHAEFER AVE STE G
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City | CHINO
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State | CA
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Zip | 91710-5459
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Country | US
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Telephone | 909-591-2926
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Fax | 909-590-4482
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Provider Business Mailing Address
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Address Line | 3873 SCHAEFER AVE STE G
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City | CHINO
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State | CA
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Zip | 91710-5459
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Country | US
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Telephone | 909-591-2926
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Fax | 909-590-4482
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AE KYUNG HONG
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Credential | L.AC
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Telephone | 909-591-2926
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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 | AC 11111
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License Number State | CA
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