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General NPI Number Information
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NPI Number | 1679799852
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Entity Type | Organization
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Legal Business Name | DON'S ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8856 SIERRA AVE
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City | FONTANA
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State | CA
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Zip | 92335-8649
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Country | US
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Telephone | 909-823-5188
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Fax | 909-823-4459
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Provider Business Mailing Address
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Address Line | 8856 SIERRA AVE
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City | FONTANA
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State | CA
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Zip | 92335-8649
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Country | US
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Telephone | 909-823-5188
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Fax | 909-823-4459
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Authorized Official
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Title or Position | OWNER
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Name | DR. YOUNG D PARK
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Credential | ACUPUNCTURE
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Telephone | 909-823-5188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1549
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License Number State | CA
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