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General NPI Number Information
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NPI Number | 1285902023
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Entity Type | Organization
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Legal Business Name | GUANHU YANG ACUPUNCTURE SERVICE LLC
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Dates
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Enumeration Date | 12/08/2011
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Last Update Date | 12/08/2011
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Provider Practice Location Address
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Address Line | 5887 CORNELL RD UNIT 4,
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City | CINCINNATI
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State | OH
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Zip | 45242
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Country | US
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Telephone | 513-652-5688
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Fax | 888-847-1235
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Provider Business Mailing Address
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Address Line | 7201 CAMARGO GREENE CT
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City | CINCINNATI
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State | OH
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Zip | 45243-2237
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Country | US
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Telephone | 513-652-5688
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Fax | 888-847-1235
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Authorized Official
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Title or Position | OWNER
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Name | MR. GUANHU YANG
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Credential | L.AC.
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Telephone | 513-652-5688
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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 | 65.000077
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License Number State | OH
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