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General NPI Number Information
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NPI Number | 1740326529
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Entity Type | Organization
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Legal Business Name | OSEUNG KWON INC.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17775 MAIN ST STE K
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City | IRVINE
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State | CA
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Zip | 92614-6708
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Country | US
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Telephone | 949-757-1884
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Fax | 949-757-1884
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Provider Business Mailing Address
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Address Line | 17775 MAIN ST STE K
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City | IRVINE
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State | CA
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Zip | 92614-6708
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Country | US
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Telephone | 949-757-1884
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Fax | 949-757-1884
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OH SEUNG KWON
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Credential | L. A.C.
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Telephone | 714-614-0884
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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 | AC9383
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License Number State | CA
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