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General NPI Number Information
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NPI Number | 1780386409
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Entity Type | Organization
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Legal Business Name | HERBS & NEEDLE ACUPUNCTURE
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 106 S GRAPE ST # 10
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City | ESCONDIDO
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State | CA
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Zip | 92025-4407
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Country | US
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Telephone | 213-568-5470
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Fax |
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Provider Business Mailing Address
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Address Line | 106 S GRAPE ST # 10
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City | ESCONDIDO
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State | CA
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Zip | 92025-4407
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Country | US
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Telephone | 213-568-5470
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HYOSHIN KWAK
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Credential | ACUPUNCTURIST
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Telephone | 213-568-5470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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