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General NPI Number Information
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NPI Number | 1851016158
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Entity Type | Organization
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Legal Business Name | CHINESE MEDICINE WORKS INC
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 5111 AIRPORT RD NW
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City | ROANOKE
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State | VA
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Zip | 24012-1605
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Country | US
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Telephone | 540-309-4105
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Fax |
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Provider Business Mailing Address
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Address Line | 5111 AIRPORT RD NW
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City | ROANOKE
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State | VA
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Zip | 24012-1605
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Country | US
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Telephone | 540-309-4105
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | MARI MENGARELLI
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Credential | LAC
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Telephone | 540-309-4105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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