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General NPI Number Information
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NPI Number | 1750828679
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Entity Type | Organization
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Legal Business Name | NEWLIFE COMMUNITY MEDICAL CENTER
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 3130 W OLYMPIC BLVD STE 380
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City | LOS ANGELES
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State | CA
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Zip | 90006-2655
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Country | US
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Telephone | 323-733-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 W OLYMPIC BLVD STE 380
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City | LOS ANGELES
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State | CA
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Zip | 90006-2655
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Country | US
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Telephone | 323-733-2000
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. BYUNG SUNG HWANG
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Credential | L.AC., PH.D.
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Telephone | 323-733-2000
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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 | AC14775
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License Number State | CA
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