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General NPI Number Information
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NPI Number | 1194843540
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Entity Type | Organization
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Legal Business Name | MU CHINESE ACUPUNCTURE AND HERBS, INC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 09/09/2015
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Provider Practice Location Address
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Address Line | 2783 NC HIGHWAY 68 S SUITE 105
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City | HIGH POINT
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State | NC
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Zip | 27265-8324
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Country | US
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Telephone | 336-885-8898
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Fax | 336-436-9138
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Provider Business Mailing Address
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Address Line | 2783 NC HIGHWAY 68 S SUITE 105
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City | HIGH POINT
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State | NC
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Zip | 27265-8324
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Country | US
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Telephone | 336-885-8898
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Fax | 336-436-9138
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Authorized Official
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Title or Position | PRESIDENT
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Name | FANG MU
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Credential | L.AC., O.M.D.
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Telephone | 336-885-8898
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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 | 198
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License Number State | NC
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