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General NPI Number Information
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NPI Number | 1972524072
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Entity Type | Organization
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Legal Business Name | BETHESDA HEALTH CENTER, INC.
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 3333 SAN GABRIEL BLVD SUITE A
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City | ROSEMEAD
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State | CA
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Zip | 91770-2583
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Country | US
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Telephone | 626-307-2818
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Fax | 626-307-2810
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Provider Business Mailing Address
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Address Line | 3333 SAN GABRIEL BLVD SUITE A
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City | ROSEMEAD
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State | CA
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Zip | 91770-2583
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Country | US
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Telephone | 626-307-2818
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Fax | 626-307-2810
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. ALLAN C KE
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Credential | D. C.
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Telephone | 626-307-2818
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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 7639
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC 26965
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License Number State | CA
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