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General NPI Number Information
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NPI Number | 1447597208
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Entity Type | Organization
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Legal Business Name | J.J.KIM ACUPUNCTURE CLINIC PC
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Dates
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Enumeration Date | 01/12/2013
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 1966 E CHAPMAN AVE SUITE J
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City | FULLERTON
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State | CA
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Zip | 92831-4142
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Country | US
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Telephone | 714-833-4077
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Fax | 714-871-8882
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Provider Business Mailing Address
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Address Line | 1966 E CHAPMAN AVE SUITE J
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City | FULLERTON
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State | CA
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Zip | 92831-4142
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Country | US
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Telephone | 714-833-4077
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Fax | 714-871-8882
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Authorized Official
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Title or Position | OWNER
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Name | DR. JONG JOUNG KIM
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Credential | L.AC, PHD
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Telephone | 714-833-4077
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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 | AC14047
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License Number State | CA
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