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General NPI Number Information
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NPI Number | 1417321795
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Entity Type | Organization
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Legal Business Name | NEW LIFE ACUPUNCTURE, INC
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 11/24/2015
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Provider Practice Location Address
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Address Line | 849 QUINCE ORCHARD BLVD SUITE C
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1678
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Country | US
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Telephone | 240-723-2657
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Fax |
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Provider Business Mailing Address
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Address Line | 849 QUINCE ORCHARD BLVD SUITE C
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City | GAITHERSBURG
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State | MD
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Zip | 20878-1678
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Country | US
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Telephone | 240-778-0755
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YON CHOE
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Credential | L.A.C., O.M.D.
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Telephone | 240-723-2957
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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 | 0121000627
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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 | U01778
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License Number State | MD
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