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General NPI Number Information
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NPI Number | 1578488722
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Entity Type | Organization
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Legal Business Name | SPRINGWILL INTEGRATIVE HEALTH LLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 463 CARLISLE DR STE B
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City | HERNDON
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State | VA
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Zip | 20170-5609
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Country | US
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Telephone | 703-495-2857
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 LINCOLN CIR APT 206
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City | MC LEAN
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State | VA
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Zip | 22102-5864
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAN TAO
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Credential |
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Telephone | 214-608-7013
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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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