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General NPI Number Information
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NPI Number | 1326288382
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Entity Type | Individual
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Provider Name | HUKI RYU OMD,LAC
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Gender | Male
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 3325 WILSHIRE BLVD #915
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City | LOS ANGELES
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State | CA
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Zip | 90010
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Country | US
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Telephone | 213-700-6346
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Fax |
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Provider Business Mailing Address
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Address Line | 3222 FAIRESTA ST #4
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City | GLENDALE
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State | CA
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Zip | 91214-2606
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Country | US
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Telephone | 213-700-6346
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 10645
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License Number State | CA
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