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General NPI Number Information
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NPI Number | 1255596946
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Entity Type | Organization
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Legal Business Name | B.S. KIM HEALING CENTER INC.
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 936 CRENSHAW BLVD 202
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City | LOS ANGELES
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State | CA
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Zip | 90019-1957
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Country | US
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Telephone | 323-954-9544
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Fax | 323-954-9544
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Provider Business Mailing Address
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Address Line | 936 S. CRENSHAW BLVD #202
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City | LOS ANGELES
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State | CA
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Zip | 90019-1949
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Country | US
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Telephone | 323-954-9544
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Fax | 323-954-9544
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Authorized Official
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Title or Position | PRESIDENT
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Name | BYOUNG SIK KIM
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Credential | LAC
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Telephone | 323-954-9544
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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 | AC9728
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License Number State | CA
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