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General NPI Number Information
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NPI Number | 1477052355
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Entity Type | Organization
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Legal Business Name | NABOM ACUPUNCTURE REHAB INC
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Dates
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Enumeration Date | 02/06/2018
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 7002 MOODY ST STE 219
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City | LA PALMA
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State | CA
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Zip | 90623-1177
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Country | US
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Telephone | 562-402-7575
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Fax | 562-402-7574
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Provider Business Mailing Address
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Address Line | 7002 MOODY ST STE 219
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City | LA PALMA
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State | CA
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Zip | 90623-1177
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Country | US
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Telephone | 562-402-7575
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Fax | 562-402-7574
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Authorized Official
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Title or Position | CEO
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Name | BUK SUK JOUNG
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Credential |
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Telephone | 714-232-6501
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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 |
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License Number State |
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