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General NPI Number Information
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NPI Number | 1497984462
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Entity Type | Organization
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Legal Business Name | YING ACUPUNCTURE AND WELLNESS CENTER
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Dates
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Enumeration Date | 07/10/2009
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Last Update Date | 07/10/2009
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Provider Practice Location Address
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Address Line | 21685 STATE ROAD 7
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City | BOCA RATON
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State | FL
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Zip | 33428-1812
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Country | US
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Telephone | 561-470-1055
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Fax | 561-470-1455
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Provider Business Mailing Address
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Address Line | 4163 NW 90TH AVE APT 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-1751
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Country | US
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Telephone | 954-255-6984
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS YINGJUAN DONG
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Credential | AP
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Telephone | 561-470-1055
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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 |
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License Number State |
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