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General NPI Number Information
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NPI Number | 1942683073
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Entity Type | Organization
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Legal Business Name | KW, INC.
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 2426 W 8TH ST STE 103
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City | LOS ANGELES
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State | CA
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Zip | 90057-3840
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Country | US
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Telephone | 213-380-1599
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Fax | 213-380-3239
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Provider Business Mailing Address
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Address Line | 2426 W 8TH ST STE 103
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City | LOS ANGELES
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State | CA
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Zip | 90057-3840
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Country | US
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Telephone | 213-380-1599
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Fax | 213-380-3239
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Authorized Official
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Title or Position | OWNER
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Name | KI OK YOO
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Credential |
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Telephone | 213-380-1599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 76573
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License Number State | CA
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