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General NPI Number Information
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NPI Number | 1316349012
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Entity Type | Organization
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Legal Business Name | AROPA HEALING ACUPUNCTURE INC
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 09/24/2014
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Provider Practice Location Address
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Address Line | 2049 PACIFIC COAST HWY STE 107
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City | LOMITA
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State | CA
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Zip | 90717-2661
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Country | US
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Telephone | 213-700-9314
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Fax |
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Provider Business Mailing Address
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Address Line | 2049 PACIFIC COAST HWY STE 107
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City | LOMITA
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State | CA
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Zip | 90717-2661
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Country | US
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Telephone | 213-700-9314
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. DONG WOO PARK
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Credential | L.AC
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Telephone | 213-700-9314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | AC8057
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | AC8057
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License Number State | CA
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