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General NPI Number Information
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NPI Number | 1518677822
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Entity Type | Organization
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Legal Business Name | SAVANNAH ACUPUNCTURE WELLNESS CENTER
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 1 OGLETHORPE PROFESSIONAL BLVD STE 104
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City | SAVANNAH
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State | GA
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Zip | 31406-4874
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Country | US
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Telephone | 912-355-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 1 OGLETHORPE PROFESSIONAL BLVD STE 104
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City | SAVANNAH
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State | GA
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Zip | 31406-4874
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Country | US
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Telephone | 912-355-1580
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YIFAN LIU
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Credential | ACUPUNCTURIST
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Telephone | 912-355-1580
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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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