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General NPI Number Information
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NPI Number | 1568742468
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Entity Type | Organization
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Legal Business Name | HOLISTIC ACUPUNCTURE INCOPORATED
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 539 N GLENOAKS BLVD #204 A-1
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City | BURBANK
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State | CA
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Zip | 91502-3201
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Country | US
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Telephone | 818-300-3658
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Fax |
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Provider Business Mailing Address
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Address Line | 539 N GLENOAKS BLVD #204 A-1
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City | BURBANK
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State | CA
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Zip | 91502-3201
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Country | US
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Telephone | 818-300-3658
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE
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Name | JUEUY HONG
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Credential | L.AC
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Telephone | 818-300-3658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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