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General NPI Number Information
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NPI Number | 1912557521
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND ORIENTAL MEDICINE CLINIC
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 7932 W SAND LAKE RD STE 200
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City | ORLANDO
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State | FL
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Zip | 32819-7299
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Country | US
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Telephone | 407-927-1071
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Fax |
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Provider Business Mailing Address
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Address Line | 5368 LONESOME DOVE DR
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City | KISSIMMEE
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State | FL
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Zip | 34746-4624
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Country | US
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Telephone | 407-927-1071
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. WEI TONG ZHAO
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Credential |
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Telephone | 407-927-1071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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