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General NPI Number Information
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NPI Number | 1366898132
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Entity Type | Organization
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Legal Business Name | NATURAL PAIN CARE CENTER INC,
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 9872 CHAPMAN AVE SUITE114
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City | GARDEN GROVE
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State | CA
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Zip | 92841-2737
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Country | US
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Telephone | 714-591-5956
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Fax | 714-676-1697
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Provider Business Mailing Address
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Address Line | 9872 CHAPMAN AVE SUITE114
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City | GARDEN GROVE
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State | CA
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Zip | 92841-2737
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Country | US
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Telephone | 714-591-5956
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Fax | 714-676-1697
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | MR. JONGMOO LEE
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Credential | L.AC
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Telephone | 714-591-5956
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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 | AC13616
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License Number State | CA
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