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General NPI Number Information
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NPI Number | 1982271292
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Entity Type | Organization
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Legal Business Name | FOUR LEAF WELLNESS LLC
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Dates
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Enumeration Date | 06/06/2021
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Last Update Date | 06/06/2021
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Provider Practice Location Address
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Address Line | 12651 VINCENTS WAY
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1492
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Country | US
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Telephone | 443-857-4192
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Fax |
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Provider Business Mailing Address
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Address Line | 12651 VINCENTS WAY
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1492
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Country | US
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Telephone | 443-857-4192
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | SUNG MI PARK
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Credential | L. AC
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Telephone | 443-857-4192
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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 |
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License Number State |
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