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General NPI Number Information
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NPI Number | 1356533202
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Entity Type | Individual
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Provider Name | DOO YOUN HWANG L ICENCED ACUPUNCTUR
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Gender | Male
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 4632 SANTA MONICA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90029-1804
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Country | US
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Telephone | 132-390-6254
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Fax |
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Provider Business Mailing Address
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Address Line | 10527 WILEY BURKE AVE
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City | DOWNEY
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State | CA
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Zip | 90241-2154
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Country | US
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Telephone | 213-273-6550
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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 | AC 9934
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License Number State | CA
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