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NPI 1982429445

NPI 1982429445 : CHI-AO YANG : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1982429445
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    Entity Type          |    Individual 
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    Provider Name        |    CHI-AO YANG
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/20/2024
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    Last Update Date     |    01/30/2025
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Provider Practice Location Address
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    Address Line         |    416 MCCULLOUGH DR STE 135 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28262-4389
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    Country              |    US
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    Telephone            |    800-218-1405
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    Fax                  |    571-520-0281
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Provider Business Mailing Address
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    Address Line         |    416 MCCULLOUGH DR STE 135 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28262-4389
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    Country              |    US
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    Telephone            |    800-218-1405
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    Fax                  |    571-520-0281
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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       |    007622
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    License Number State |    NY
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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       |    LAC-2280
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    License Number State |    NC
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