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General NPI Number Information
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NPI Number | 1750189668
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Entity Type | Organization
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Legal Business Name | RAON ACUPUNCTURE - KIM PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 15335 FAIRFIELD RANCH RD STE 180
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City | CHINO HILLS
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State | CA
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Zip | 91709-8839
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Country | US
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Telephone | 909-287-1022
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Fax |
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Provider Business Mailing Address
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Address Line | 12403 CENTRAL AVE UNIT 1019
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City | CHINO
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State | CA
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Zip | 91710-2604
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EUNA KIM
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Credential | DAOM
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Telephone | 909-569-2427
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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 |
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License Number State |
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