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General NPI Number Information
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NPI Number | 1053776286
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Entity Type | Individual
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Provider Name | ZHOU WAN ACUPUNCTURIST
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Gender | Female
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 7001 CORPORATE DR SUITE 320
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City | HOUSTON
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State | TX
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Zip | 77036-5110
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Country | US
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Telephone | 281-903-0036
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 CORPORATE DR STE 320
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City | HOUSTON
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State | TX
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Zip | 77036-5130
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Country | US
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Telephone | 281-903-0036
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC01095
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License Number State | TX
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