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General NPI Number Information
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NPI Number | 1619309754
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Entity Type | Organization
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Legal Business Name | BRIAN KIM ACUPUNCTURE CLINIC INC
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 9900 STOCKDALE HWY SUITE 204
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3632
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Country | US
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Telephone | 661-847-9717
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Fax | 661-847-9718
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Provider Business Mailing Address
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Address Line | 9900 STOCKDALE HWY SUITE 204
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City | BAKERSFIELD
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State | CA
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Zip | 93311-3632
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Country | US
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Telephone | 661-847-9717
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Fax | 661-847-9718
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN KIM
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Credential | LAC, PHD
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Telephone | 661-847-9717
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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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