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General NPI Number Information
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NPI Number | 1154474591
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Entity Type | Organization
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Legal Business Name | ORIENTAL FAMILY MEDICINE CHARTERED
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 901 N HERCULES AVE SUITE F.
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City | CLEARWATER
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State | FL
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Zip | 33765-2031
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Country | US
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Telephone | 727-442-9220
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Fax | 727-445-9799
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Provider Business Mailing Address
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Address Line | 901 N HERCULES AVE SUITE F.
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City | CLEARWATER
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State | FL
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Zip | 33765-2031
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Country | US
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Telephone | 727-442-9220
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Fax | 727-445-9799
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Authorized Official
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Title or Position | DIRECT OWNER
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Name | DR. HONGJIAN HE
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Credential | AP
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Telephone | 727-442-9220
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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 | AP00028
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License Number State | FL
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