# TAIJI ACUPUNCTURE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679958813
- **Authorized official:** MR. YANGCHONG CHEN (OWNER)
- **Authorized official phone:** (240) 439-1489

## Contact information

- **Practice address:** 1411 BLUEWING CT, FREDERICK, MD 21703
- **Practice address phone:** (240) 439-1489
- **Mailing address:** 1411 BLUEWING CT, FREDERICK, MD 21703-5990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U01871 | MD | Yes |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | UO1871 | MD | — |

## Other

- **Enumeration date:** 07/29/2015
- **Last updated:** 07/29/2015