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General NPI Number Information
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NPI Number | 1619481181
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE BEAUTIFIER WELLNESS INC
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Dates
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Enumeration Date | 11/20/2017
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Last Update Date | 11/20/2017
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Provider Practice Location Address
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Address Line | 860 E LA HABRA BLVD STE 110
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City | LA HABRA
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State | CA
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Zip | 90631-0817
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Country | US
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Telephone | 562-383-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 15137 GUNDRY AVE
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City | PARAMOUNT
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State | CA
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Zip | 90723-3963
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Country | US
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Telephone | 626-422-8568
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS JOLING CHANG
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Credential | LAC.
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Telephone | 562-383-7755
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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 | 15293
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License Number State | CA
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