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General NPI Number Information
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NPI Number | 1356025464
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Entity Type | Organization
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Legal Business Name | SUNLIGHT ACUPUNCTURE & HERBS INC
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Dates
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Enumeration Date | 06/12/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 405 S STATE COLLEGE BLVD STE 205
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City | BREA
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State | CA
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Zip | 92821-5728
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Country | US
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Telephone | 714-858-7340
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Fax |
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Provider Business Mailing Address
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Address Line | 405 S STATE COLLEGE BLVD STE 205
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City | BREA
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State | CA
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Zip | 92821-5728
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Country | US
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Telephone | 714-858-7340
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST / OWNER
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Name | HEESUK CHO
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Credential | LAC
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Telephone | 714-858-7340
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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 |
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License Number State |
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