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General NPI Number Information
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NPI Number | 1003466475
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Entity Type | Organization
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Legal Business Name | OMD ACUPUNCTURE &HERBAL CARE, LLC
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 10760 HICKORY RIDGE RD STE 117
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City | COLUMBIA
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State | MD
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Zip | 21044-3682
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Country | US
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Telephone | 410-299-9666
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Fax | 410-465-5289
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Provider Business Mailing Address
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Address Line | 3640 CHATHAM RD
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-3926
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Country | US
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Telephone | 410-299-9666
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Fax | 410-465-5289
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Authorized Official
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Title or Position | OWNER
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Name | MS. MAY HSIA
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Credential | LAC
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Telephone | 410-299-9666
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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 |
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License Number State |
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