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General NPI Number Information
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NPI Number | 1265360705
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Entity Type | Individual
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Provider Name | JOSHUA MIN BAEK
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Gender | Male
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 5480 PHILADELPHIA ST STE C
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City | CHINO
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State | CA
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Zip | 91710-2486
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Country | US
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Telephone | 626-333-8877
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 LA PAZ LN UNIT E
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City | DIAMOND BAR
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State | CA
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Zip | 91765-3850
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Country | US
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Telephone | 213-431-7457
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 37587
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License Number State | CA
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