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General NPI Number Information
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NPI Number | 1083805170
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Entity Type | Organization
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Legal Business Name | HUANGDI ACUPUNCTURE AND HERBAL CLINIC
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 3056 NORTHPARK DR
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City | KINGWOOD
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State | TX
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Zip | 77339-5124
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Country | US
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Telephone | 281-684-9127
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Fax |
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Provider Business Mailing Address
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Address Line | 19118 MILLOAK DR
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City | HUMBLE
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State | TX
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Zip | 77346-4004
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Country | US
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Telephone | 281-684-9127
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Fax |
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Authorized Official
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Title or Position | L. AC
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Name | ANNEES GURMANI
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Credential | LIC. ACUPUNCTURIST
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Telephone | 281-684-9127
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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 | 00892
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License Number State | TX
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