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General NPI Number Information
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NPI Number | 1205192358
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Entity Type | Organization
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Legal Business Name | DRAGON ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 8700 MANCHACA RD STE 505
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City | AUSTIN
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State | TX
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Zip | 78748-5376
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Country | US
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Telephone | 512-825-4979
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Fax |
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Provider Business Mailing Address
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Address Line | 8700 MANCHACA RD STE 505
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City | AUSTIN
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State | TX
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Zip | 78748-5376
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Country | US
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Telephone | 512-825-4979
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | CHIUFEN WANG
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Credential |
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Telephone | 512-825-4979
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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 | AC00732
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC00731
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License Number State | TX
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