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General NPI Number Information
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NPI Number | 1730333790
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Entity Type | Organization
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Legal Business Name | HEBEYO ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 11/04/2008
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 1906 OCEANSIDE BLVD SUITE S
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City | OCEANSIDE
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State | CA
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Zip | 92054-4423
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Country | US
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Telephone | 760-754-2007
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Fax | 888-355-6203
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Provider Business Mailing Address
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Address Line | 1906 OCEANSIDE BLVD SUITE S
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City | OCEANSIDE
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State | CA
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Zip | 92054-4423
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Country | US
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Telephone | 760-754-2007
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Fax | 888-355-6203
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Authorized Official
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Title or Position | ACUPUNCTURIST/PRESIDENT
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Name | MR. KWANGMYUNG CHOO
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Credential | LAC.
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Telephone | 760-754-2007
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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 | AC10231
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License Number State | CA
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