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General NPI Number Information
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NPI Number | 1407063753
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Entity Type | Organization
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Legal Business Name | ACU-MEDI PROFESSIONAL ASSOCIATE, PC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7002 LITTLE RIVER TPKE SUITE I
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City | ANNANDALE
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State | VA
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Zip | 22003-3200
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Country | US
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Telephone | 703-658-5100
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Fax | 703-916-1717
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Provider Business Mailing Address
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Address Line | 7002 LITTLE RIVER TPKE SUITE I
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City | ANNANDALE
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State | VA
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Zip | 22003-3200
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Country | US
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Telephone | 703-658-5100
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Fax | 703-916-1717
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Authorized Official
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Title or Position | MEMBER
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Name | DR. HYOK CHAN YI
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Credential | L AC., PH D
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Telephone | 703-658-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104555880
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0121000325
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC5085
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | U01322
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License Number State | MD
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