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General NPI Number Information
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NPI Number | 1801176086
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Entity Type | Organization
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Legal Business Name | HJ ACUPUNCTURE
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 08/19/2011
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Provider Practice Location Address
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Address Line | 4070 TWEEDY BLVD STE E
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City | SOUTH GATE
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State | CA
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Zip | 90280-6165
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Country | US
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Telephone | 323-567-7624
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Fax | 323-567-7670
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Provider Business Mailing Address
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Address Line | 4970 TWEEDY BLVD #-E
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City | SOUTH GATE
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State | CA
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Zip | 90280
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Country | US
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Telephone | 323-567-7624
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Fax | 323-567-7670
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Authorized Official
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Title or Position | C.E.O
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Name | SECHAN OH
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Credential |
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Telephone | 213-273-6661
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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 | AC13361
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License Number State | CA
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