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General NPI Number Information
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NPI Number | 1629442272
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Entity Type | Individual
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Provider Name | YUMI KWON
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Gender | Female
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Dates
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Enumeration Date | 11/19/2015
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 6514 LONETREE BLVD STE 200
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City | ROCKLIN
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State | CA
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Zip | 95765-6005
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Country | US
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Telephone | 916-581-6236
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Fax | 916-352-6521
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Provider Business Mailing Address
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Address Line | 6514 LONETREE BLVD STE 200
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City | ROCKLIN
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State | CA
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Zip | 95765-6005
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Country | US
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Telephone | 916-581-6236
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Fax | 916-352-6521
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC14929
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License Number State | CA
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