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General NPI Number Information
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NPI Number | 1538588157
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Entity Type | Organization
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Legal Business Name | TJ ENERGY, INC.
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Dates
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Enumeration Date | 04/10/2014
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Last Update Date | 04/10/2014
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Provider Practice Location Address
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Address Line | 2461 E ORANGETHORPE AVE SUITE 201
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City | FULLERTON
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State | CA
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Zip | 92831-5302
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Country | US
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Telephone | 714-366-1240
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 103
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City | FULLERTON
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State | CA
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Zip | 92836-0103
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Country | US
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Telephone | 714-366-1240
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Fax | 714-882-5797
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | THOMAS HYUN
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Credential | L. AC.
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Telephone | 714-366-1240
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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 | 14110
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License Number State | CA
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