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General NPI Number Information
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NPI Number | 1952689127
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Entity Type | Individual
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Provider Name | KYU S SUH L.AC PH.D
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Gender | Male
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 8600 W SUNSET BLVD STE A
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-2302
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Country | US
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Telephone | 310-854-0299
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 W SUNSET BLVD STE A
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-2302
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Country | US
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Telephone | 310-854-0299
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Fax |
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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 | AC 10227
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License Number State | CA
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