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General NPI Number Information
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NPI Number | 1205658200
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Entity Type | Organization
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Legal Business Name | CHULIU ETERNAL
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1028 ROCKVILLE PIKE
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City | ROCKVILLE
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State | MD
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Zip | 20852-1404
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Country | US
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Telephone | 240-756-8889
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Fax |
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Provider Business Mailing Address
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Address Line | 141 APPLE BLOSSOM WAY
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1166
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Country | US
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Telephone | 240-756-8889
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAOLIN CHU
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Credential |
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Telephone | 240-756-8889
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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 |
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License Number State |
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