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General NPI Number Information
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NPI Number | 1760842959
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Entity Type | Organization
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Legal Business Name | NEW HOPE MEDICAL MANAGEMENT INC
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Dates
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Enumeration Date | 03/01/2016
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 7002 MOODY ST SUITE 209
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City | LA PALMA
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State | CA
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Zip | 90623-1180
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Country | US
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Telephone | 562-860-7575
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Fax | 562-865-7575
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Provider Business Mailing Address
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Address Line | 7002 MOODY ST SUITE 209
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City | LA PALMA
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State | CA
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Zip | 90623-1180
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Country | US
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Telephone | 562-860-7575
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Fax | 562-865-7575
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Authorized Official
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Title or Position | PRESIDENT/OT
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Name | KYUNG-RAN TAE
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Credential |
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Telephone | 562-860-7575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT10347
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License Number State | CA
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