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General NPI Number Information
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NPI Number | 1356134001
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Entity Type | Organization
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Legal Business Name | DONGHWA PRIME WELLNESS INC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 14575 NE BEL RED RD STE 100
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City | BELLEVUE
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State | WA
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Zip | 98007-3908
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Country | US
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Telephone | 425-641-8052
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Fax | 425-641-8053
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Provider Business Mailing Address
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Address Line | 23415 NE 11TH CT
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City | SAMMAMISH
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State | WA
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Zip | 98074-6868
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Country | US
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Telephone | 415-310-4789
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SANGHEON SHIN
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Credential |
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Telephone | 425-213-9793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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