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General NPI Number Information
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NPI Number | 1770723736
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Entity Type | Organization
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Legal Business Name | SHEN DAO ACUPUNCTURE, PLLC
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 334 BRYANT ST. #2
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City | BUFFALO
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State | NY
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Zip | 14222-1945
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Country | US
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Telephone | 716-883-3166
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Fax | 716-883-3166
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Provider Business Mailing Address
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Address Line | 334 BRYANT ST. #2
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City | BUFFALO
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State | NY
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Zip | 14222-1945
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Country | US
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Telephone | 716-883-3166
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Fax | 716-883-3166
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. BARBARA ANN SCHAMBERGER
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Credential | L.AC.
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Telephone | 716-883-3166
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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 | 000372
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License Number State | NY
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