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General NPI Number Information
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NPI Number | 1316892763
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Entity Type | Organization
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Legal Business Name | KH ACUPUNCTURE PLUS MASSAGE
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 430 N LAKEVIEW AVE
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City | ANAHEIM
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State | CA
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Zip | 92807-3029
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Country | US
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Telephone | 909-551-1568
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Fax |
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Provider Business Mailing Address
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Address Line | 430 N LAKEVIEW AVE
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City | ANAHEIM
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State | CA
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Zip | 92807-3029
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Country | US
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Telephone | 909-551-1568
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MR. KENTA HANATAKA
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Credential |
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Telephone | 909-551-1568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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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 |
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License Number State |
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