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General NPI Number Information
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NPI Number | 1437373974
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Entity Type | Individual
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Provider Name | JOON HEE OH L.AC.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6028 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-3607
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Country | US
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Telephone | 323-936-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 810 FEDORA ST APT 211
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City | LOS ANGELES
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State | CA
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Zip | 90005-2191
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Country | US
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Telephone | 213-820-0183
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Fax | 213-381-6990
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC11260
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License Number State | CA
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