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General NPI Number Information
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NPI Number | 1679724249
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Entity Type | Organization
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Legal Business Name | CHINESE ACUPUNCTURE & HERBOLOGY CLINIC
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 369 MONTFORD AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-1051
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Country | US
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Telephone | 828-258-9016
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Fax | 828-254-9720
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Provider Business Mailing Address
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Address Line | 369 MONTFORD AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-1051
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Country | US
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Telephone | 828-258-9016
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Fax | 828-254-9720
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Authorized Official
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Title or Position | DIRECTOR, LIC.AC.
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Name | MS. MARY CISSY MAJEBE
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Credential | O.M.D.
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Telephone | 828-258-9016
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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 | 003
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License Number State | NC
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