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General NPI Number Information
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NPI Number | 1346968930
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Entity Type | Individual
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Provider Name | YURI CHUN
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Gender | Female
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Dates
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Enumeration Date | 08/19/2022
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Last Update Date | 08/26/2022
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Provider Practice Location Address
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Address Line | 8610 W 3RD ST
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City | LOS ANGELES
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State | CA
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Zip | 90048-3324
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Country | US
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Telephone | 310-657-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 258 S SERRANO AVE APT 300
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City | LOS ANGELES
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State | CA
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Zip | 90004-5271
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Country | US
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Telephone | 415-602-5173
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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 | AC19509
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License Number State | CA
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