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General NPI Number Information
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NPI Number | 1386581809
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Entity Type | Organization
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Legal Business Name | NURI GROUP
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 1082 N LA BREDA ST
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City | COVINA
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State | CA
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Zip | 91722-2630
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Country | US
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Telephone | 213-700-0214
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Fax | 714-681-1282
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Provider Business Mailing Address
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Address Line | 1082 N LA BREDA ST
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City | COVINA
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State | CA
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Zip | 91722-2630
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Country | US
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Telephone | 213-700-0214
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Fax | 714-681-1282
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Authorized Official
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Title or Position | OWNER
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Name | OKKYUNG COREAS
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Credential |
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Telephone | 213-700-0214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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