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General NPI Number Information
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NPI Number | 1780110627
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Entity Type | Organization
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Legal Business Name | CHERRY BLOSSOM HEALING ARTS
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 2639 CONNECTICUT AVE NW SUITE C-101
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City | WASHINGTON
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State | DC
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Zip | 20008-1537
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Country | US
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Telephone | 202-681-1588
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Fax |
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Provider Business Mailing Address
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Address Line | 2639 CONNECTICUT AVE NW SUITE C-101
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City | WASHINGTON
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State | DC
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Zip | 20008-1537
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Country | US
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Telephone | 202-681-1588
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED ACUPUNCTURIST
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Name | ELYSE ROHRER BUDIASH
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Credential | L.AC, MSOM, DIPL.OM
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Telephone | 202-681-1588
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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 | AC500183
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License Number State | DC
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