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General NPI Number Information
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NPI Number | 1518189703
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE ACUPUNCTURE AND HEALING ARTS LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 133 DEFENSE HWY, SUITE 105
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7015
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Country | US
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Telephone | 410-571-9993
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Fax | 410-571-9994
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Provider Business Mailing Address
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Address Line | 133 DEFENSE HWY, SUITE 105
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7015
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Country | US
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Telephone | 410-571-9993
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Fax | 410-571-9994
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Authorized Official
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Title or Position | OWNER
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Name | MS. LAUREN P. MCNEAL
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Credential | L. AC., DIPL. AC.
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Telephone | 410-571-9993
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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 | U01293
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License Number State | MD
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