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General NPI Number Information
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NPI Number | 1407914732
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND HERBAL CENTER INC.
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3611 NM HWY 528 SUITE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87114
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Country | US
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Telephone | 505-898-6668
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Fax |
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Provider Business Mailing Address
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Address Line | 3611 NM HWY 528 SUITE A
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City | ALBUQUERQUE
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State | NM
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Zip | 87114
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Country | US
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Telephone | 505-898-6668
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Fax |
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Authorized Official
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Title or Position | OMD
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Name | QI CHU
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Credential | L.AC. OMD
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Telephone | 505-898-6668
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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 | NM 416
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License Number State | NM
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