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General NPI Number Information
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NPI Number | 1578017109
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Entity Type | Organization
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Legal Business Name | YAN ACUPUNCTURE& HERBS LLC
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 4210 NW 37TH PL SUITE 200
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City | GAINESVILLE
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State | FL
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Zip | 32606-7700
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Country | US
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Telephone | 352-872-5556
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 NW 51ST ST APT. J178
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City | GAINESVILLE
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State | FL
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Zip | 32606-4333
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Country | US
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Telephone | 571-244-3290
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | CHUNLING YAN
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Credential |
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Telephone | 571-244-3290
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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 | AP3731
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License Number State | FL
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