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General NPI Number Information
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NPI Number | 1205094042
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Entity Type | Organization
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Legal Business Name | KONG SHOUHERBS COMPANY
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 9600 BELLAIRE BLVD SUITE 112
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City | HOUSTON
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State | TX
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Zip | 77036-4534
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Country | US
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Telephone | 713-995-8868
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Fax | 713-995-8868
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Provider Business Mailing Address
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Address Line | 9600 BELLAIRE BLVD SUITE 112
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City | HOUSTON
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State | TX
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Zip | 77036-4534
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Country | US
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Telephone | 713-995-8868
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Fax | 713-995-8868
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUSHENG TAN
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Credential |
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Telephone | 713-995-8868
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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 | AC00071
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License Number State | TX
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