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General NPI Number Information
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NPI Number | 1205262300
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Entity Type | Organization
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Legal Business Name | GLOBAL TCM
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 7730 PETERS RD
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City | PLANTATION
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State | FL
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Zip | 33324-4004
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Country | US
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Telephone | 954-647-5539
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Fax |
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Provider Business Mailing Address
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Address Line | 9235 LAGOON PL APT 410
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City | DAVIE
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State | FL
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Zip | 33324-6729
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Country | US
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Telephone | 954-647-5539
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JIDONG LI
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Credential | A.P.
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Telephone | 954-647-5539
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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 | AP2875
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License Number State | FL
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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 | AP3288
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License Number State | FL
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