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General NPI Number Information
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NPI Number | 1689375800
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Entity Type | Organization
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Legal Business Name | MY BODY STORY LLC
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Dates
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Enumeration Date | 03/14/2023
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Last Update Date | 04/04/2023
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Provider Practice Location Address
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Address Line | 3000 W 6TH ST STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90020-1564
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Country | US
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Telephone | 213-326-5151
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 W 6TH ST STE 203
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City | LOS ANGELES
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State | CA
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Zip | 90020-1564
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Country | US
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Telephone | 213-326-5151
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SIWOON KIM
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Credential |
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Telephone | 213-800-1114
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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 |
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License Number State |
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