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General NPI Number Information
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NPI Number | 1801288758
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Entity Type | Organization
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Legal Business Name | JOSEPH KIM CHIROPRACTIC & ACUPUNCTURE CLINIC INC.
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 4128 W COMMONWEALTH AVE STE 101
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City | FULLERTON
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State | CA
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Zip | 92833-2565
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Country | US
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Telephone | 714-525-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 4128 W COMMONWEALTH AVE STE 101
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City | FULLERTON
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State | CA
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Zip | 92833-2565
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Country | US
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Telephone | 714-525-3535
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSEPH BUMSIN KIM
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Credential |
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Telephone | 714-525-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number | 3833
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License Number State | CA
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