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General NPI Number Information
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NPI Number | 1053173765
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Entity Type | Organization
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Legal Business Name | BETHESDA PRIME ACUPUNCTURE
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 5620 SHIELDS DR
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City | BETHESDA
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State | MD
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Zip | 20817-3532
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Country | US
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Telephone | 301-530-0461
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Fax |
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Provider Business Mailing Address
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Address Line | 5620 SHIELDS DR
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City | BETHESDA
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State | MD
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Zip | 20817-3532
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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 | OWNER
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Name | SEUNG WOO PAIK
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Credential |
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Telephone | 301-633-2166
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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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