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General NPI Number Information
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NPI Number | 1811437965
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Entity Type | Organization
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Legal Business Name | WU'S ACUPUNCTURE & CHINESE HERBAL MEDICINE
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Dates
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Enumeration Date | 03/07/2017
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 2114 ANGUS RD SUITE #213
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-2768
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Country | US
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Telephone | 434-270-5922
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Fax |
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Provider Business Mailing Address
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Address Line | 3304 TURNBERRY CIR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-7485
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Country | US
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Telephone | 434-270-5922
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BEI WU
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Credential | D.O.M.
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Telephone | 434-270-5922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 0121000802
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License Number State | VA
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