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General NPI Number Information
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NPI Number | 1447691563
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Entity Type | Individual
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Provider Name | JANE HYUN HONG PHARMD, MTOM, LAC
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Gender | Female
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 4250 VIA DOLCE APT 221
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City | MARINA DEL REY
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State | CA
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Zip | 90292-4803
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Country | US
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Telephone | 360-490-4140
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Fax |
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Provider Business Mailing Address
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Address Line | 4250 VIA DOLCE APT 221
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City | MARINA DEL REY
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State | CA
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Zip | 90292-4803
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Country | US
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Telephone | 360-490-4140
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Fax |
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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 | 20409
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License Number State | CA
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