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General NPI Number Information
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NPI Number | 1124888730
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Entity Type | Organization
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Legal Business Name | YOUJIAN TCM PLLC
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 2653 TARNA DR
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City | DALLAS
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State | TX
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Zip | 75229-2222
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Country | US
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Telephone | 214-888-6640
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 HIDDEN COVE DR
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City | PLANO
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State | TX
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Zip | 75075-1791
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Country | US
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Telephone | 469-826-5072
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Fax |
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Authorized Official
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Title or Position | EMPOLYEE
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Name | MING GUO
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Credential | LAC
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Telephone | 469-826-5072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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