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General NPI Number Information
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NPI Number | 1730894254
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Entity Type | Organization
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Legal Business Name | DELTA ONE ACUPUNCTURE, LLC.
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 101 S LAFAYETTE ST STE 18
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City | STARKVILLE
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State | MS
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Zip | 39759-2914
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Country | US
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Telephone | 979-492-8793
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Fax | 855-952-5781
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Provider Business Mailing Address
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Address Line | 1433 PINECREST RD
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City | STARKVILLE
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State | MS
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Zip | 39759-8074
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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 | MANAGER
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Name | MEIXI LI
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Credential |
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Telephone | 979-492-8793
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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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