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General NPI Number Information
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NPI Number | 1457699480
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Entity Type | Organization
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Legal Business Name | TAO CLINIC OF ACUPUNCTURE
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 999 ROUTE 73 N STE 200
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City | MARLTON
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State | NJ
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Zip | 08053-1227
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Country | US
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Telephone | 856-802-6888
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Fax | 856-802-6878
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Provider Business Mailing Address
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Address Line | 999 ROUTE 73 N STE 200
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City | MARLTON
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State | NJ
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Zip | 08053-1227
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Country | US
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Telephone | 856-802-6888
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Fax | 856-802-6878
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | LAN MIAO
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Credential |
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Telephone | 267-721-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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