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General NPI Number Information
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NPI Number | 1487081485
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Entity Type | Organization
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Legal Business Name | ASIAN AMERICAN COMMUNITY SERVICE CENTER
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Dates
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Enumeration Date | 10/04/2013
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 4187 NORTHEAST EXPY STE 100
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City | ATLANTA
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State | GA
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Zip | 30340-3833
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Country | US
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Telephone | 770-270-0297
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Fax | 770-270-0012
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Provider Business Mailing Address
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Address Line | 4187 NORTHEAST EXPY STE 100
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City | ATLANTA
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State | GA
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Zip | 30340-3833
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Country | US
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Telephone | 770-270-0297
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Fax | 770-270-0012
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN C. KIM
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Credential |
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Telephone | 770-270-0297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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