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General NPI Number Information
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NPI Number | 1427419324
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Entity Type | Organization
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Legal Business Name | ZERONE ACUPUNCTURE CLINIC, INC.
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Dates
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Enumeration Date | 03/19/2016
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Last Update Date | 03/19/2016
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Provider Practice Location Address
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Address Line | 4940 VAN NUYS BLVD SUITE 304
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1700
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Country | US
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Telephone | 818-403-4265
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Fax |
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Provider Business Mailing Address
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Address Line | 11442 VIKING AVE
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City | PORTER RANCH
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State | CA
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Zip | 91326-1813
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Country | US
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Telephone | 818-403-4265
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. JIN KOOK KIM
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Credential | LAC
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Telephone | 818-403-4265
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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 | 16844
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License Number State | CA
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