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General NPI Number Information
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NPI Number | 1609326370
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Entity Type | Organization
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Legal Business Name | BK ACUHEALTH, INC.
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 18750 COLIMA RD STE D
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2962
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Country | US
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Telephone | 714-340-7833
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Fax | 714-727-0158
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Provider Business Mailing Address
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Address Line | 18750 COLIMA RD STE D
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-2962
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Country | US
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Telephone | 714-340-7833
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Fax | 714-727-0158
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JINWON KIM
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Credential | L.AC
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Telephone | 714-340-7833
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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 | 13432
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License Number State | CA
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