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NPI 1144997743

NPI 1144997743 : CURTIS MERIDA L.AC : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1144997743
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    Entity Type          |    Individual 
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    Provider Name        |    CURTIS MERIDA L.AC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/23/2021
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    Last Update Date     |    08/23/2021
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Provider Practice Location Address
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    Address Line         |    8350 MEADOW RD STE 265 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-4275
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    Country              |    US
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    Telephone            |    214-432-3075
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8350 MEADOW RD STE 265 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75231-4275
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    Country              |    US
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    Telephone            |    214-432-3075
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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       |    AC00321
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    License Number State |    TX
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