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General NPI Number Information
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NPI Number | 1275316663
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Entity Type | Organization
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Legal Business Name | SUSIE CHOI ACUPUNCTURE INC.
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 3812 SEPULVEDA BLVD STE 370
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City | TORRANCE
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State | CA
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Zip | 90505-2415
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Country | US
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Telephone | 310-710-7907
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Fax |
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Provider Business Mailing Address
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Address Line | 20122 BERNIST AVE
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City | TORRANCE
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State | CA
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Zip | 90503-2106
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSIE CHOI JOSEFSSON
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Credential | L.AC., D.A.O.M.
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Telephone | 310-710-7907
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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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