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General NPI Number Information
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NPI Number | 1972372290
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Entity Type | Organization
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Legal Business Name | PMC ACUPUNCTURE CLINC
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 6550 ROCK SPRING DR STE 460
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City | BETHESDA
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State | MD
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Zip | 20817-1132
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Country | US
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Telephone | 301-312-7717
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Fax | 240-235-8191
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Provider Business Mailing Address
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Address Line | 204 WATKINS POND BLVD
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City | ROCKVILLE
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State | MD
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Zip | 20850-5733
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Country | US
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Telephone | 301-312-7717
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Fax | 240-235-8191
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Authorized Official
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Title or Position | MEMBER
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Name | JANET MEEHAE KIM
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Credential | DAOM
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Telephone | 301-312-7717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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