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General NPI Number Information
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NPI Number | 1558844191
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Entity Type | Organization
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Legal Business Name | HYUNSUK OH CHIROPRACTIC INC
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 02/27/2019
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Provider Practice Location Address
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Address Line | 3053 W OLYMPIC BLVD STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90006-2558
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Country | US
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Telephone | 213-384-3830
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Fax | 213-384-3662
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Provider Business Mailing Address
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Address Line | 3053 W OLYMPIC BLVD STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90006-2558
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Country | US
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Telephone | 213-384-3830
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Fax | 213-384-3662
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | HYUNSUK OH
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Credential | DC
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Telephone | 443-994-3208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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