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General NPI Number Information
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NPI Number | 1992073993
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Entity Type | Organization
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Legal Business Name | GRACE ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 12/05/2011
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 921 JASONWAY AVE STE. A
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City | COLUMBUS
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State | OH
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Zip | 43214-2330
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Country | US
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Telephone | 614-748-6100
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Fax | 614-748-6109
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Provider Business Mailing Address
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Address Line | 921 JASONWAY AVE STE. A
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City | COLUMBUS
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State | OH
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Zip | 43214-2330
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Country | US
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Telephone | 614-748-6100
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Fax | 614-748-6109
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Authorized Official
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Title or Position | PRESIDENT
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Name | GRACE ZHANG
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Credential | L. AC.
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Telephone | 614-748-6100
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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 | 65000011
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License Number State | OH
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