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General NPI Number Information
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NPI Number | 1861169260
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Entity Type | Individual
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Provider Name | SHIOPEI CHENG LOW LAC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 1332 LONDONTOWN BLVD STE 117
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City | ELDERSBURG
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State | MD
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Zip | 21784-6587
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Country | US
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Telephone | 443-774-5441
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Fax |
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Provider Business Mailing Address
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Address Line | 9055 PHILLIP DORSEY WAY
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City | COLUMBIA
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State | MD
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Zip | 21045-5149
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Country | US
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Telephone | 410-440-0895
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | U02809
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License Number State | MD
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