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NPI Code Detail

MEDICARE: NA ZHAI L.AC.

MEDICARE: NA ZHAI L.AC.
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
1171100000XAcupuncturist1028CO

General Provider Information

NPI Number : 1508937962
Entity Type Code : Individual
Provider Name (Legal Business Name) : NA ZHAI L.AC.
Provider Business Mailing Address
First Line : 5673 MARSHALL CREEK DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-8104
Country : US
Telephone Number : 719-282-3267
Fax Number :
Provider Business Practice Location Address
First Line : 2020 W COLORADO AVE # B-204
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-3882
Country : US
Telephone Number : 719-634-1669
Fax Number : 719-634-1961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 07/08/2007

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