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General NPI Number Information
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NPI Number | 1316165293
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Entity Type | Organization
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Legal Business Name | ASIAN MEDICINE INSTITUTE, INC.
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 150 S PROSPECT AVE
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City | TUSTIN
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State | CA
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Zip | 92780-3617
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Country | US
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Telephone | 714-731-3881
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Fax | 714-731-3831
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Provider Business Mailing Address
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Address Line | 150 S PROSPECT AVE
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City | TUSTIN
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State | CA
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Zip | 92780-3617
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Country | US
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Telephone | 714-731-3881
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Fax | 714-731-3831
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Authorized Official
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Title or Position | PRESIDENT
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Name | PROF. MUNHWA KIM
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Credential | PHD
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Telephone | 714-731-3881
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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 | AC13290
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License Number State | CA
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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 | AC11296
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License Number State | CA
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