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General NPI Number Information
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NPI Number | 1548514011
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Entity Type | Organization
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Legal Business Name | NEOHARMONY ASIAN MEDICINE INC.
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 6951 S NIAGARA CT
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City | CENTENNIAL
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State | CO
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Zip | 80112-1014
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Country | US
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Telephone | 303-921-7340
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Fax |
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Provider Business Mailing Address
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Address Line | 6951 S NIAGARA CT
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City | CENTENNIAL
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State | CO
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Zip | 80112-1014
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Country | US
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Telephone | 303-921-7340
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HEA YOON PARK
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Credential | DIPL.OM.
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Telephone | 303-921-7340
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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 | 1576
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License Number State | CO
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