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General NPI Number Information
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NPI Number | 1568202455
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Entity Type | Organization
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Legal Business Name | MICHIGAN K-BEAUTY AND HEALTH
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 1985 W BIG BEAVER RD STE 200
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City | TROY
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State | MI
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Zip | 48084-3409
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Country | US
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Telephone | 248-422-4606
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Fax |
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Provider Business Mailing Address
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Address Line | 1985 W BIG BEAVER RD STE 200
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City | TROY
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State | MI
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Zip | 48084-3409
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Country | US
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Telephone | 248-422-4606
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID CHRISTIAN KANG
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Credential | L.AC
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Telephone | 248-462-9050
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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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