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General NPI Number Information
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NPI Number | 1184995227
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND CHINESE MEDICINE INC
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Dates
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Enumeration Date | 01/21/2012
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Last Update Date | 01/21/2012
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Provider Practice Location Address
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Address Line | 2020 W COLORADO AVE B-204
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3882
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Country | US
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Telephone | 719-634-1669
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 W COLORADO AVE B-204
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City | COLORADO SPRINGS
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State | CO
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Zip | 80904-3882
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Country | US
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Telephone | 719-634-1669
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NA ZHAI
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Credential |
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Telephone | 719-634-1669
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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 | 1028
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License Number State | CO
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