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General NPI Number Information
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NPI Number | 1386198364
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Entity Type | Organization
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Legal Business Name | WELL BEING TOUCH CENTER
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 8929 S SEPULVEDA BLVD STE 205
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City | LOS ANGELES
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State | CA
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Zip | 90045-3643
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Country | US
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Telephone | 310-475-8018
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Fax | 310-475-8018
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Provider Business Mailing Address
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Address Line | 8929 S SEPULVEDA BLVD STE 205
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City | LOS ANGELES
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State | CA
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Zip | 90045-3643
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Country | US
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Telephone | 310-475-8018
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Fax | 310-475-8018
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Authorized Official
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Title or Position | OWNER
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Name | MS. LYDIA YOUNG KIM
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Credential | L.AC
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Telephone | 310-475-8018
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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 17056
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License Number State | CA
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