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General NPI Number Information
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NPI Number | 1952123127
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE & WHOLESOME WELLNESS CENTER
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 2401 UNIVERSITY PKWY STE 204E
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City | SARASOTA
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State | FL
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Zip | 34243-2973
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Country | US
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Telephone | 941-359-6588
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 UNIVERSITY PKWY STE 204E
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City | SARASOTA
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State | FL
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Zip | 34243-2973
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Country | US
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Telephone | 941-359-6588
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | YONG LIU
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Credential | ACUPUNCTURIST
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Telephone | 941-359-6588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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