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General NPI Number Information
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NPI Number | 1457035602
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Entity Type | Individual
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Provider Name | QING YI ACUPUNCTURIST
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Gender | Female
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Dates
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Enumeration Date | 06/09/2023
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 98 TERRA MANGO LOOP # 12B
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City | ORLANDO
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State | FL
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Zip | 32835-8514
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Country | US
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Telephone | 689-698-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 1094 HERON SOUND DR
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City | APOPKA
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State | FL
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Zip | 32703-6239
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Country | US
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Telephone | 415-420-9561
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4479
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License Number State | FL
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