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General NPI Number Information
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NPI Number | 1154734119
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Entity Type | Organization
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Legal Business Name | LEI ACUPUNCTURE AND MASSAGE LLC.
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Dates
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Enumeration Date | 06/07/2014
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Last Update Date | 06/07/2014
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Provider Practice Location Address
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Address Line | 537 W HIGHLANDS RANCH PKWY STE 112
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-6951
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Country | US
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Telephone | 303-471-0888
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Fax | 303-683-8938
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Provider Business Mailing Address
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Address Line | 537 W HIGHLANDS RANCH PKWY STE 112
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-6951
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Country | US
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Telephone | 303-471-0888
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Fax | 303-683-8938
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Authorized Official
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Title or Position | MANAGER
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Name | LINLIN ZHANG
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Credential | M.T.
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Telephone | 303-471-0888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0015325
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0001881
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License Number State | CO
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