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General NPI Number Information
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NPI Number | 1295153211
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Entity Type | Organization
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Legal Business Name | NATURAL-BIO CARE, INC
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 2717 W OLYMPIC BLVD STE 202
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City | LOS ANGELES
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State | CA
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Zip | 90006-2642
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Country | US
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Telephone | 213-388-7675
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 W OLYMPIC BLVD STE 202
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City | LOS ANGELES
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State | CA
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Zip | 90006-2642
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Country | US
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Telephone | 213-388-7675
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Fax |
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Authorized Official
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Title or Position | ACUPUNTURIST
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Name | MR. JOON KYUNG LEE
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Credential |
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Telephone | 213-388-7675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 5297
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License Number State | CA
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