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General NPI Number Information
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NPI Number | 1952584211
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Entity Type | Individual
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Provider Name | HAN TAE CHOE OMD (ACUPUNCTURIST)
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Gender | Male
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 12/10/2007
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Provider Practice Location Address
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Address Line | 7488 LIME AVE
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City | FONTANA
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State | CA
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Zip | 92336-3173
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Country | US
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Telephone | 626-825-6846
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Fax | 909-356-5792
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Provider Business Mailing Address
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Address Line | 19745 COLIMA RD SUITE 12 ( DR MIDAS MEDICAL GROUP )
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City | ROWLAND HEIGHTS
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State | CA
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Zip | 91748-3219
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Country | US
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Telephone | 909-595-5550
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Fax | 626-310-0520
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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 | AC11000
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License Number State | CA
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