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General NPI Number Information
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NPI Number | 1871649061
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Entity Type | Individual
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Provider Name | SEUNGHOON YOO L.AC
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Gender | Male
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 826 N HACIENDA BLVD
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City | LA PUENTE
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State | CA
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Zip | 91744-2808
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Country | US
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Telephone | 626-968-0806
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Fax |
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Provider Business Mailing Address
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Address Line | 1711 GRISMER AVE # 99
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City | BURBANK
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State | CA
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Zip | 91504-3719
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Country | US
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Telephone | 818-955-8293
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Fax |
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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 | AC11297
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License Number State | CA
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