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General NPI Number Information
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NPI Number | 1326688045
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Entity Type | Organization
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Legal Business Name | NADA GROUP CORPORATION
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Dates
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Enumeration Date | 01/10/2020
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Last Update Date | 01/10/2020
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Provider Practice Location Address
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Address Line | 5295 GREENWICH RD STE 104
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-6046
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Country | US
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Telephone | 757-513-3910
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Fax | 757-317-0265
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Provider Business Mailing Address
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Address Line | 5132 EDON HALL LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6217
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Country | US
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Telephone | 757-513-3910
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Fax | 757-317-0265
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Authorized Official
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Title or Position | OWNER
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Name | HOJUN SHIN
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Credential | L.AC.
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Telephone | 757-513-3910
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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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