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General NPI Number Information
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NPI Number | 1730524158
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Entity Type | Organization
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Legal Business Name | ODONG HEALTH INC
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 2946 W 7TH ST # D
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City | LOS ANGELES
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State | CA
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Zip | 90005-3932
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Country | US
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Telephone | 213-385-7078
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Fax |
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Provider Business Mailing Address
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Address Line | 2946 W 7TH ST # D
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City | LOS ANGELES
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State | CA
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Zip | 90005-3932
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Country | US
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Telephone | 213-385-7078
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YING JI JIN HONG
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Credential | ACUPUNCTURIST
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Telephone | 213-385-7078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | AC 7636
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License Number State | CA
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