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General NPI Number Information
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NPI Number | 1801737564
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Entity Type | Organization
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Legal Business Name | PROCARE ACUPUNCTURE AND WELLNESS GERMANTOWN
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 19719 EXECUTIVE PARK CIR
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City | GERMANTOWN
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State | MD
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Zip | 20874-2639
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Country | US
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Telephone | 571-207-6789
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Fax | 571-234-8128
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Provider Business Mailing Address
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Address Line | 19719 EXECUTIVE PARK CIR
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City | GERMANTOWN
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State | MD
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Zip | 20874-2639
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Country | US
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Telephone | 571-207-6789
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Fax | 571-234-8128
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Authorized Official
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Title or Position | OWNER
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Name | PUKAI JIN
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Credential | DOM
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Telephone | 571-207-6789
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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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