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General NPI Number Information
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NPI Number | 1356652101
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Entity Type | Individual
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Provider Name | JOSEPH HYUNSEOG OH
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Gender | Male
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Dates
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Enumeration Date | 06/27/2010
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 1111 W 6TH ST STE 120
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City | LOS ANGELES
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State | CA
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Zip | 90017-1823
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Country | US
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Telephone | 213-935-8401
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Fax | 213-935-8403
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Provider Business Mailing Address
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Address Line | 24043 DEARBORN DR
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City | VALENCIA
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State | CA
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Zip | 91354-1869
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Country | US
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Telephone | 323-636-3080
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH 60356
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 18254
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License Number State | CA
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