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General NPI Number Information
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NPI Number | 1801347992
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Entity Type | Individual
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Provider Name | YOUNG O KIM AC
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Gender | Female
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 3000 W OLYMPIC BLVD STE 301
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City | LOS ANGELES
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State | CA
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Zip | 90006-6512
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Country | US
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Telephone | 323-660-0233
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Fax | 818-855-8061
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Provider Business Mailing Address
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Address Line | 3000 W OLYMPIC BLVD STE 301
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City | LOS ANGELES
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State | CA
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Zip | 90006-6512
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Country | US
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Telephone | 323-660-9033
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Fax | 818-855-8061
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC8468
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License Number State | CA
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