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General NPI Number Information
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NPI Number | 1518217462
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Entity Type | Organization
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Legal Business Name | SM HEALING CENTER
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 3727 W 6TH ST #612
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City | LOS ANGELES
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State | CA
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Zip | 90020-5105
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Country | US
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Telephone | 213-700-1472
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Fax | 213-455-2400
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Provider Business Mailing Address
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Address Line | 3727 W 6TH ST #612
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City | LOS ANGELES
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State | CA
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Zip | 90020-5111
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Country | US
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Telephone | 213-700-1472
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Fax | 213-455-2400
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MS. EUNWHA LEE
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Credential | L.AC
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Telephone | 213-700-1472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AC13320
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License Number State | CA
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