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General NPI Number Information
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NPI Number | 1740785104
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Entity Type | Organization
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Legal Business Name | HEALING TAO ACUPUNCTURE CENTER, LLC
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 751 ROCKVILLE PIKE STE 2A
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City | ROCKVILLE
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State | MD
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Zip | 20852-1181
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Country | US
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Telephone | 703-533-2249
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Fax |
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Provider Business Mailing Address
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Address Line | 751 ROCKVILLE PIKE STE 2A
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City | ROCKVILLE
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State | MD
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Zip | 20852-1181
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Country | US
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Telephone | 703-533-2249
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LYSA PHAN
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Credential | L. AC.
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Telephone | 703-533-2249
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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 | 0121000210
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License Number State | VA
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