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General NPI Number Information
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NPI Number | 1477940245
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Entity Type | Organization
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Legal Business Name | TAOLIACUPUNCTURE
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 04/20/2015
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Provider Practice Location Address
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Address Line | 2401 RESEARCH BLVD. SUITE 380
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City | ROCKVILL
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State | MD
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Zip | 20850
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Country | US
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Telephone | 301-820-2898
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Fax |
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Provider Business Mailing Address
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Address Line | 5808 COPPELIA DR
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City | ROCKVILLE
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State | MD
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Zip | 20855-2584
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Country | US
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Telephone | 301-820-2898
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JIAQI TAO
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Credential |
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Telephone | 617-953-4149
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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 | U02186
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License Number State | MD
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