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General NPI Number Information
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NPI Number | 1861156853
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Entity Type | Organization
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Legal Business Name | GUIFANG ACUPUNCTURE & HERB LLC
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 11551 NUCKOLS RD STE N
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City | GLEN ALLEN
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State | VA
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Zip | 23059-5565
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Country | US
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Telephone | 585-485-9963
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Fax |
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Provider Business Mailing Address
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Address Line | 1417 N 25TH ST
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City | RICHMOND
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State | VA
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Zip | 23223-5205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GUIFANG XUE
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Credential |
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Telephone | 585-485-9963
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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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