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General NPI Number Information
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NPI Number | 1104584317
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Entity Type | Organization
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Legal Business Name | PATAPSCO ACUPUNCTURE & INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 12/05/2021
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 1332 LONDONTOWN BLVD STE 117
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City | ELDERSBURG
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State | MD
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Zip | 21784-6587
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Country | US
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Telephone | 443-774-5441
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Fax |
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Provider Business Mailing Address
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Address Line | 9055 PHILLIP DORSEY WAY
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City | COLUMBIA
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State | MD
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Zip | 21045-5149
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Country | US
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Telephone | 410-440-0895
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | SHIOPEI LOW
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Credential | L.AC
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Telephone | 410-440-0895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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