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General NPI Number Information
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NPI Number | 1285147512
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Entity Type | Organization
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Legal Business Name | HAN-SOL WELLNESS
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 22672 LAMBERT ST STE 616
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City | LAKE FOREST
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State | CA
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Zip | 92630-1613
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Country | US
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Telephone | 213-342-7039
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Fax | 800-285-2176
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Provider Business Mailing Address
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Address Line | 22672 LAMBERT ST STE 616
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City | LAKE FOREST
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State | CA
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Zip | 92630-1613
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Country | US
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Telephone | 213-342-7039
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Fax | 800-285-2176
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Authorized Official
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Title or Position | CEO
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Name | YOUNG SOON CHOI
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Credential | L.AC
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Telephone | 213-342-7039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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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 | AC16758
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License Number State | CA
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