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General NPI Number Information
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NPI Number | 1982348629
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Entity Type | Organization
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Legal Business Name | ARK ACUPUNCTURE AND WELLNESS, LLC
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 7010 LITTLE RIVER TPKE STE 430
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City | ANNANDALE
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State | VA
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Zip | 22003-3241
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Country | US
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Telephone | 703-354-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 4328 EVERGREEN LN STE L
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City | ANNANDALE
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State | VA
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Zip | 22003-3262
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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 | OWNER
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Name | HANNA LEE
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Credential |
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Telephone | 301-828-8543
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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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