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General NPI Number Information
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NPI Number | 1861102378
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Entity Type | Organization
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Legal Business Name | REFINED HEALING ACUPUNCTURE & WELLNESS, INC.
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Dates
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Enumeration Date | 11/25/2022
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 8290 OLD COURTHOUSE RD
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City | VIENNA
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State | VA
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Zip | 22182-3837
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Country | US
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Telephone | 571-238-4022
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Fax |
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Provider Business Mailing Address
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Address Line | 10234 HERON POND TER
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City | BURKE
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State | VA
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Zip | 22015-3736
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Country | US
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Telephone | 703-980-5630
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BO CHEN
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Credential | LAC
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Telephone | 571-238-4022
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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 |
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License Number State |
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