MEDICARE: MS. YINGKANG DENG ACUPUNCTURIST

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	U00871	MD

General Provider Information

NPI Number	:	1568538411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YINGKANG DENG ACUPUNCTURIST

Provider Business Mailing Address
First Line	:	632 FREDERICK RD
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4625
Country	:	US
Telephone Number	:	410-747-8076
Fax Number	:	410-747-8090

Provider Business Practice Location Address
First Line	:	632 FREDERICK RD
Second Line	:
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-4625
Country	:	US
Telephone Number	:	410-747-8076
Fax Number	:	410-747-8090

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

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	07/08/2007

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