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General NPI Number Information
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NPI Number | 1871001875
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL ACUPUNCTURE
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Dates
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Enumeration Date | 01/12/2018
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Last Update Date | 01/12/2018
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Provider Practice Location Address
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Address Line | 161 CHERRY ST STE 2
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City | NEW CANAAN
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State | CT
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Zip | 06840-4833
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Country | US
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Telephone | 203-716-1239
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Fax |
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Provider Business Mailing Address
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Address Line | 161 CHERRY ST STE 2
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City | NEW CANAAN
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State | CT
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Zip | 06840-4833
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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 | LA.C
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Name | AREUM LEE
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Credential |
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Telephone | 203-716-1239
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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 | 000711
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License Number State | CT
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