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General NPI Number Information
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NPI Number | 1336558980
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Entity Type | Organization
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Legal Business Name | CHINESE ACUPUNCTURE & WELLNESS
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 9101 LAKERIDGE BLVD STE 23
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City | BOCA RATON
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State | FL
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Zip | 33496-2147
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Country | US
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Telephone | 561-303-6943
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Fax |
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Provider Business Mailing Address
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Address Line | 5670 NW 106TH AVE
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-2811
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Country | US
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Telephone | 561-303-6943
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YU QI
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Credential |
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Telephone | 561-303-6943
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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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