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General NPI Number Information
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NPI Number | 1720803265
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Entity Type | Organization
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Legal Business Name | EXEEDA WELLNESS LLC
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 7700 LITTLE RIVER TPKE # 104
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City | ANNANDALE
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State | VA
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Zip | 22003-2427
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Country | US
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Telephone | 703-401-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 LITTLE RIVER TPKE # 104
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City | ANNANDALE
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State | VA
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Zip | 22003-2427
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Country | US
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Telephone | 703-401-7171
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | JUNHO YOON
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Credential |
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Telephone | 703-401-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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