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General NPI Number Information
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NPI Number | 1700322062
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Entity Type | Individual
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Provider Name | EUN HEE KIM L.AC
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Gender | Female
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 200 S BEACH BLVD UNIT B
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City | LA HABRA
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State | CA
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Zip | 90631-5180
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Country | US
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Telephone | 714-261-0871
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Fax |
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Provider Business Mailing Address
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Address Line | 3216 EL CAMINO REAL STE 9
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City | SANTA CLARA
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State | CA
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Zip | 95051-2871
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Country | US
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Telephone | 650-771-7254
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Fax |
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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 | AC 13525
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License Number State | CA
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