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General NPI Number Information
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NPI Number | 1255985362
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Entity Type | Organization
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Legal Business Name | JINGHUAN CAI ACUPUNCTURE P C
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 07/26/2019
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Provider Practice Location Address
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Address Line | 4903 69TH ST STE B
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City | WOODSIDE
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State | NY
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Zip | 11377-5928
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Country | US
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Telephone | 626-271-4893
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Fax |
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Provider Business Mailing Address
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Address Line | 3519 149TH ST
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City | FLUSHING
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State | NY
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Zip | 11354-3740
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Country | US
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Telephone | 626-271-4893
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JINGHUAN CAI
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Credential |
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Telephone | 626-271-4893
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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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