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General NPI Number Information
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NPI Number | 1194569657
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Entity Type | Organization
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Legal Business Name | B & C SPA, LLC
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 1840 SNAKE RIVER RD STE D
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City | KATY
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State | TX
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Zip | 77449-7755
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Country | US
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Telephone | 254-900-7788
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Fax |
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Provider Business Mailing Address
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Address Line | 4621 CASHEL GLEN DR
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City | HOUSTON
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State | TX
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Zip | 77069-3515
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Country | US
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Telephone | 254-900-7788
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST
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Name | MS. QI WANG
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Credential | MT
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Telephone | 254-900-7788
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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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Taxonomy #2
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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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