MEDICARE: DR. YASUNAO (FRANK) AOI DOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	0530	AZ

General Provider Information

NPI Number	:	1396907572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YASUNAO (FRANK) AOI DOM

Provider Business Mailing Address
First Line	:	4333 N CIVIC CENTER PLZ STE 110
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-3500
Country	:	US
Telephone Number	:	480-246-0624
Fax Number	:

Provider Business Practice Location Address
First Line	:	4333 N CIVIC CENTER PLZ STE 110
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-3500
Country	:	US
Telephone Number	:	480-246-0624
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	06/27/2008

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