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General NPI Number Information
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NPI Number | 1316178460
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Entity Type | Organization
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Legal Business Name | ANGELS HAND WELLNESS INC
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 08/06/2009
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Provider Practice Location Address
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Address Line | 6693 DOWNEY AVE
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City | LONG BEACH
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State | CA
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Zip | 90805-2822
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Country | US
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Telephone | 562-634-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 6693 DOWNEY AVE
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City | LONG BEACH
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State | CA
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Zip | 90805-2822
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Country | US
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Telephone | 562-634-3300
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DEOKSANG YU
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Credential | L.AC.
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Telephone | 562-634-3300
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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 | AC12562
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License Number State | CA
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