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General NPI Number Information
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NPI Number | 1619629144
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Entity Type | Organization
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Legal Business Name | JC ACUPUNCTURE & HERBS
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 422 W LA HABRA BLVD
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City | LA HABRA
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State | CA
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Zip | 90631-5408
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Country | US
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Telephone | 714-392-3348
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 W SOUTHGATE AVE
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City | FULLERTON
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State | CA
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Zip | 92833-4019
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Country | US
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Telephone | 714-392-3348
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JOY MYUNGYEON CHOI
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Credential | ACUPUNCTURIST
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Telephone | 714-392-3348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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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 | 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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