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General NPI Number Information
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NPI Number | 1407658073
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Entity Type | Organization
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Legal Business Name | ANNIE KO ACUPUNCTURE & HERBAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 200 NEWPORT CENTER DR. #203
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City | NEWPORT BEACH
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State | CA
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Zip | 92660
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Country | US
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Telephone | 949-644-6644
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Fax | 949-590-1076
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Provider Business Mailing Address
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Address Line | 200 NEWPORT CENTER DR. #203
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City | NEWPORT BEACH
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State | CA
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Zip | 92660
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Country | US
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Telephone | 949-644-6644
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Fax | 949-590-1076
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | JUNHUA LIU
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Credential |
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Telephone | 949-644-6644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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