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General NPI Number Information
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NPI Number | 1912383472
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Entity Type | Organization
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Legal Business Name | HONG'S ACUPUNCTURE, CHIROPRACTIC & HEALING CENTER
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 15731 S WESTERN AVE
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City | GARDENA
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State | CA
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Zip | 90247-6179
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Country | US
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Telephone | 310-259-3580
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Fax |
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Provider Business Mailing Address
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Address Line | 15731 S WESTERN AVE
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City | GARDENA
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State | CA
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Zip | 90247-6179
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Country | US
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Telephone | 310-259-3580
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEONG HO HONG
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Credential |
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Telephone | 310-808-0199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC31663
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC5049
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License Number State | CA
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