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General NPI Number Information
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NPI Number | 1518271352
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Entity Type | Organization
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Legal Business Name | IN-UI ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 11752 GARDEN GROVE BLVD STE 212
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1444
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Country | US
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Telephone | 714-483-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 11752 GARDEN GROVE BLVD STE 212
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City | GARDEN GROVE
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State | CA
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Zip | 92843-1444
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID SHIN
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Credential |
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Telephone | 714-483-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | AC12053
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License Number State | CA
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