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General NPI Number Information
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NPI Number | 1346622693
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Entity Type | Organization
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Legal Business Name | STEPS HOLISTIC CENTER CORPORATION
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 2140 W OLYMPIC BLVD # 415
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City | LOS ANGELES
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State | CA
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Zip | 90006-2207
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Country | US
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Telephone | 213-426-1174
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Fax | 213-426-1176
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Provider Business Mailing Address
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Address Line | 2140 W OLYMPIC BLVD # 415
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City | LOS ANGELES
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State | CA
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Zip | 90006-2207
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Country | US
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Telephone | 213-426-1174
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WOO JIN LEE
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Credential | L.AC.
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Telephone | 213-426-1174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | AC 13956
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License Number State | CA
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