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General NPI Number Information
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NPI Number | 1154649572
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Entity Type | Organization
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Legal Business Name | LIFECARE ACUPUNCTURE & ALTERNATIVE MEDICINE CENTER,PLLC
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 4603 COLLEYVILLE BLVD STE 120
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City | COLLEYVILLE
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State | TX
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Zip | 76034-3974
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Country | US
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Telephone | 817-788-8388
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Fax | 817-788-8088
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Provider Business Mailing Address
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Address Line | 4603 COLLEYVILLE BLVD, #120
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City | COLLEYVILLE
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State | TX
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Zip | 76034
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Country | US
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Telephone | 817-788-8388
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Fax | 817-788-8088
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAOCHUAN LI
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Credential | OMD.,PH.D., LAC
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Telephone | 817-788-8388
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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 | AC1029
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License Number State | TX
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