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General NPI Number Information
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NPI Number | 1184351157
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Entity Type | Organization
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Legal Business Name | THE WELLNESS CENTER OF SAN ANTONIO, PLLC
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 21518 BLANCO RD STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78260-3380
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Country | US
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Telephone | 210-334-7180
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Fax | 210-547-2050
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Provider Business Mailing Address
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Address Line | 14222 CANARY LN
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City | SAN ANTONIO
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State | TX
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Zip | 78217-1213
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Country | US
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Telephone | 210-334-7180
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Fax | 210-547-2050
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Authorized Official
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Title or Position | ACUPUNCTURIST/OWNER
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Name | MS. RUTH ELAINE CRAVENS
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Credential | L.AC.
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Telephone | 210-334-7180
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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 |
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License Number State |
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