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General NPI Number Information
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NPI Number | 1366249542
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Entity Type | Organization
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Legal Business Name | GEN4 ACUPUNCTURE
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 809 N BETHLEHEM PIKE BLDG E3
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City | AMBLER
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State | PA
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Zip | 19002-2558
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Country | US
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Telephone | 267-346-8238
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Fax |
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Provider Business Mailing Address
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Address Line | 210 GREEN TREE TAVERN RD
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City | NORTH WALES
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State | PA
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Zip | 19454-1250
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Country | US
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Telephone | 267-346-8238
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MR. PHILLIP LI ZHOU
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Credential | LAC
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Telephone | 267-346-8238
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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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