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General NPI Number Information
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NPI Number | 1114375813
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Entity Type | Organization
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Legal Business Name | YAN'S ACUPUNCTURE LLC
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 06/03/2016
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Provider Practice Location Address
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Address Line | 5 HONEYCOMB LN
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City | NORTH HAVEN
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State | CT
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Zip | 06473-1005
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Country | US
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Telephone | 203-903-0471
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Fax |
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Provider Business Mailing Address
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Address Line | 5 HONEYCOMB LANE
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City | NORTH HAVEN
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State | CT
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Zip | 06473
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Country | US
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Telephone | 203-903-0471
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. YAN HUO
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Credential | OMD, PHD.,LAC.
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Telephone | 203-903-0471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 000569
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License Number State | CT
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