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General NPI Number Information
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NPI Number | 1376916817
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Entity Type | Organization
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Legal Business Name | GLOBAL EASTERN MEDICINE GROUP
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Dates
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Enumeration Date | 11/05/2015
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Last Update Date | 11/05/2015
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Provider Practice Location Address
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Address Line | 1010 S. FEDORA ST. #101
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City | LOS ANGELES
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State | CA
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Zip | 90006
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Country | US
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Telephone | 213-293-1755
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Fax | 213-896-7455
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Provider Business Mailing Address
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Address Line | 1010 S. FEDORA ST. #101
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City | LOS ANGELES
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State | CA
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Zip | 90006
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Country | US
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Telephone | 213-293-1755
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Fax | 213-896-7455
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Authorized Official
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Title or Position | CEO
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Name | MR. DANIEL DO KIM
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Credential | ACUPUNCTURIST
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Telephone | 213-293-1755
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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 | 15994
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License Number State | CA
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