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General NPI Number Information
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NPI Number | 1518228337
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Entity Type | Organization
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Legal Business Name | MIRAE ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 06/07/2012
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Last Update Date | 06/07/2012
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Provider Practice Location Address
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Address Line | 4980 BARRANCA PKWY #130
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City | IRVINE
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State | CA
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Zip | 92604-8645
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Country | US
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Telephone | 949-336-8998
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Fax | 949-336-8558
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Provider Business Mailing Address
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Address Line | 4980 BARRANCA PKWY #130
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City | IRVINE
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State | CA
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Zip | 92604-8645
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Country | US
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Telephone | 949-336-8998
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Fax | 949-336-8558
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Authorized Official
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Title or Position | L.AC.
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Name | MINKYUNG JUNG
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Credential | L.AC.
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Telephone | 949-336-8998
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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 | AC13371
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License Number State | CA
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