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General NPI Number Information
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NPI Number | 1396113403
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Entity Type | Organization
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Legal Business Name | NUYU ACUPUNCTURE
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 826 E MAIN ST
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City | LOUISVILLE
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State | KY
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Zip | 40206-1624
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Country | US
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Telephone | 503-449-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1527 HIGHLAND AVE UNIT 4728
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City | LOUISVILLE
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State | KY
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Zip | 40204-4045
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Country | US
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Telephone | 502-418-2121
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Fax | 502-895-7716
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | MR. FREDERICK W EHMANN
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Credential | LAC
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Telephone | 503-449-3000
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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 | AC085
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License Number State | KY
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