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NPI 1619372430

NPI 1619372430 : GIGI CHOW N.D., L.AC : FAIRFIELD, CT

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General NPI Number Information
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    NPI Number           |    1619372430
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    Entity Type          |    Individual 
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    Provider Name        |    GIGI CHOW N.D., L.AC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/23/2014
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    Last Update Date     |    10/27/2022
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Provider Practice Location Address
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    Address Line         |    540 TUNXIS HILL RD 
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    City                 |    FAIRFIELD
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    State                |    CT
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    Zip                  |    06825
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    Country              |    US
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    Telephone            |    646-338-2053
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    Fax                  |    646-915-1564
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Provider Business Mailing Address
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    Address Line         |    2490 BLACK ROCK TPKE 112
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    City                 |    FAIRFIELD
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    State                |    CT
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    Zip                  |    06825-2400
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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    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    000826
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    000396
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    License Number State |    CT
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Taxonomy #3
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    005448
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    License Number State |    NY
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