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General NPI Number Information
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NPI Number | 1972137628
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Entity Type | Individual
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Provider Name | RUITIAN CAI
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Gender | Female
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 32 JOHNSON DR
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City | BRASELTON
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State | GA
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Zip | 30517-2774
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Country | US
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Telephone | 404-585-7583
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Fax |
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Provider Business Mailing Address
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Address Line | 1824 DEFOOR AVE NW APT 4306
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City | ATLANTA
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State | GA
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Zip | 30318-3072
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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 |
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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 | AC01875
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 466
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License Number State | GA
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