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General NPI Number Information
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NPI Number | 1376927210
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Entity Type | Organization
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Legal Business Name | PRIME ACUPUNCTURE CLINIC INC
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 1818 S WESTERN AVE SUITE 207
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City | LOS ANGELES
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State | CA
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Zip | 90006-5807
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Country | US
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Telephone | 213-599-7202
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Fax |
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Provider Business Mailing Address
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Address Line | 1818 S WESTERN AVE STE 207
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City | LOS ANGELES
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State | CA
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Zip | 90006-5862
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. WONHEE LEE
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Credential |
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Telephone | 213-599-7202
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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 | AC16538
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License Number State | CA
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