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NPI 1780923698

NPI 1780923698 : WORLD MISSIONARY ACUPUNCTURE INC. : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1780923698
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    Entity Type          |    Organization 
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    Legal Business Name  |    WORLD MISSIONARY ACUPUNCTURE INC. 
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Dates
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    Enumeration Date     |    02/13/2013
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    Last Update Date     |    02/13/2013
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Provider Practice Location Address
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    Address Line         |    1930 WILSHIRE BLVD STE 206 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90057-3612
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    Country              |    US
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    Telephone            |    213-200-6884
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    Fax                  |    213-483-1130
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Provider Business Mailing Address
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    Address Line         |    1930 WILSHIRE BLVD STE 206 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90057-3612
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    Country              |    US
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    Telephone            |    213-200-6884
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    Fax                  |    213-483-1130
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Authorized Official
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    Title or Position    |    DOCTOR
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    Name                 |    DR. YOUNGKEUN  LEE 
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    Credential           |    
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    Telephone            |    213-200-8510
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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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