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General NPI Number Information
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NPI Number | 1518573864
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Entity Type | Organization
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Legal Business Name | YI'S ACUPUNCTURE CLINIC,INC.
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 4216 EVERGREEN LN STE 112
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City | ANNANDALE
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State | VA
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Zip | 22003-3253
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Country | US
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Telephone | 703-256-0330
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Fax | 703-256-0337
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Provider Business Mailing Address
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Address Line | 4216 EVERGREEN LN STE 112
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City | ANNANDALE
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State | VA
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Zip | 22003-3253
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Country | US
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Telephone | 703-256-0330
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Fax | 703-256-0337
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Authorized Official
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Title or Position | OWER
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Name | YOUNG C YI
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Credential | OMD
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Telephone | 703-622-1750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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