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General NPI Number Information
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NPI Number | 1972993400
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Entity Type | Organization
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Legal Business Name | ACUSSINSA WELLNESS CORPORATION
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 4220 W 3RD ST STE 207
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City | LOS ANGELES
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State | CA
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Zip | 90020-3450
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Country | US
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Telephone | 213-718-2259
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Fax |
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Provider Business Mailing Address
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Address Line | 4220 W 3RD ST STE 207
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City | LOS ANGELES
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State | CA
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Zip | 90020-3450
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MIN HO YANG
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Credential | LAC
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Telephone | 213-718-2259
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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 | AC13742
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License Number State | CA
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