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General NPI Number Information
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NPI Number | 1649561481
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Entity Type | Organization
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Legal Business Name | INHWA ACUPUNCTURIST,INC
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 05/01/2011
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Provider Practice Location Address
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Address Line | 7940 ORANGETHORPE AVE
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City | BUENA PARK
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State | CA
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Zip | 90621-3437
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Country | US
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Telephone | 714-736-0382
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Fax |
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Provider Business Mailing Address
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Address Line | 7940 ORANGETHORPE AVE
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City | BUENA PARK
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State | CA
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Zip | 90621-3437
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Country | US
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Telephone | 714-736-0382
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MR. BYUNGHONG CHO
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Credential | LAC
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Telephone | 714-736-0382
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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 | AC12587
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License Number State | CA
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