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General NPI Number Information
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NPI Number | 1932892288
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Entity Type | Organization
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Legal Business Name | SOL ACUPUNCTURE CLINIC INC
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Dates
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Enumeration Date | 06/01/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 1121 VIA VERDE
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City | SAN DIMAS
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State | CA
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Zip | 91773-4400
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Country | US
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Telephone | 909-833-1353
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Fax | 888-791-8165
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Provider Business Mailing Address
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Address Line | 1121 VIA VERDE
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City | SAN DIMAS
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State | CA
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Zip | 91773-4400
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Country | US
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Telephone | 909-833-1353
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Fax | 888-791-8165
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YOUNG MI KIM
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Credential | DACM, L.AC
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Telephone | 909-833-1353
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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 |
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License Number State |
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