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General NPI Number Information
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NPI Number | 1336304161
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Entity Type | Organization
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Legal Business Name | NEWEM INC
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 1572 LOS PADRES BLVD STE 201
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City | SANTA CLARA
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State | CA
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Zip | 95050-4472
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Country | US
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Telephone | 408-246-3559
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Fax |
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Provider Business Mailing Address
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Address Line | 1572 LOS PADRES BLVD STE 201
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City | SANTA CLARA
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State | CA
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Zip | 95050-4472
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Country | US
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Telephone | 408-246-3559
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHEOL HO WON
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Credential | AC
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Telephone | 408-246-3559
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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 | AC12203
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License Number State | CA
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