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General NPI Number Information
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NPI Number | 1548115868
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Entity Type | Organization
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Legal Business Name | SPARK ACUPUNCTURE INC
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 1340 W VALLEY PKWY STE 107
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City | ESCONDIDO
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State | CA
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Zip | 92029-2135
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Country | US
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Telephone | 760-227-8269
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Fax | 760-227-8269
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Provider Business Mailing Address
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Address Line | 1340 W VALLEY PKWY STE 107
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City | ESCONDIDO
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State | CA
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Zip | 92029-2135
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Country | US
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Telephone | 760-227-8269
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Fax | 760-227-8269
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEONGHYEON PARK
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Credential |
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Telephone | 760-227-8269
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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 |
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License Number State |
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