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General NPI Number Information
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NPI Number | 1699903252
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Entity Type | Organization
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Legal Business Name | TRUE ESSENCE ACUPUNCTURE INC
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | 991 ARAPAHOE ST UNIT 320
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City | LOS ANGELES
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State | CA
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Zip | 90006-5839
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Country | US
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Telephone | 213-270-5001
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Fax |
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Provider Business Mailing Address
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Address Line | 2960 WILSHIRE BLVD STE 320
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City | LOS ANGELES
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State | CA
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Zip | 90010-1154
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Country | US
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Telephone | 213-270-5001
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JUNG GUN LEE
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Credential | LAC
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Telephone | 213-270-5001
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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 | AC12728
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License Number State | CA
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