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General NPI Number Information
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NPI Number | 1780455634
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Entity Type | Organization
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Legal Business Name | SERENE ACUPUNCTURE AND INTEGRATIVE MEDICINE LLC
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 617 W PATRICK ST STE 5
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City | FREDERICK
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State | MD
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Zip | 21701-4027
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Country | US
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Telephone | 240-578-3250
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Fax |
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Provider Business Mailing Address
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Address Line | 1234 OAKWOOD DR
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City | FREDERICK
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State | MD
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Zip | 21701-4256
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Country | US
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Telephone | 561-298-8581
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JINPING WANG
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Credential |
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Telephone | 240-578-3250
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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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