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General NPI Number Information
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NPI Number | 1013692508
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Entity Type | Organization
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Legal Business Name | BETH LI ACUPUNCTURE LLC
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 60 MARKET ST STE 217
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City | GAITHERSBURG
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State | MD
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Zip | 20878-6559
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Country | US
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Telephone | 240-477-4075
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Fax | 855-576-8447
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Provider Business Mailing Address
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Address Line | 12012 ASHLEY DR
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City | ROCKVILLE
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State | MD
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Zip | 20852-2336
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Country | US
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Telephone | 410-591-2644
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BETH GRUBB LI
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Credential | M.AC., L.AC.
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Telephone | 410-591-2644
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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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