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General NPI Number Information
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NPI Number | 1588980619
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Entity Type | Organization
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Legal Business Name | EASTERN HEALING CENTER
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 604 S FREDERICK AVE SUITE 407
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1275
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Country | US
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Telephone | 301-519-2346
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Fax | 301-519-2346
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Provider Business Mailing Address
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Address Line | 604 S FREDERICK AVE SUITE 407
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City | GAITHERSBURG
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State | MD
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Zip | 20877-1275
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Country | US
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Telephone | 301-519-2346
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Fax | 301-519-2346
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Authorized Official
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Title or Position | OWNER
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Name | MR. OWEN LIAO
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Credential | PH.D.
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Telephone | 301-519-2346
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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 | U01127
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License Number State | MD
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