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General NPI Number Information
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NPI Number | 1902065105
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Entity Type | Organization
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Legal Business Name | NORTH SHORE ACUPUNCTURE CENTER
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 9933 LAWLER AVE STE 227
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City | SKOKIE
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State | IL
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Zip | 60077-3701
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Country | US
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Telephone | 847-682-1416
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Fax |
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Provider Business Mailing Address
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Address Line | 9933 LAWLER AVE STE 227
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City | SKOKIE
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State | IL
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Zip | 60077-3701
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Country | US
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Telephone | 847-682-1416
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW N CHOI
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Credential |
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Telephone | 847-682-1416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 198000285
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License Number State | IL
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