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General NPI Number Information
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NPI Number | 1215112602
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Entity Type | Organization
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Legal Business Name | TAO'S CLINIC OF ACUPUNCTURE AND HERB
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 3227 INDEPENDENCE PKWY
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City | PLANO
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State | TX
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Zip | 75075-1972
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Country | US
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Telephone | 972-673-0908
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Fax |
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Provider Business Mailing Address
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Address Line | 3227 INDEPENDENCE PKWY
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City | PLANO
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State | TX
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Zip | 75075-1972
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | L.AC
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Name | MR. RICHARD R TAO
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Credential | L.AC
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Telephone | 972-673-0908
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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 | AC00463
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License Number State | TX
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