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General NPI Number Information
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NPI Number | 1235893652
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Entity Type | Organization
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Legal Business Name | LIGHTHILL ACUPUNCTURE LLC
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Dates
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Enumeration Date | 10/22/2021
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Last Update Date | 10/22/2021
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Provider Practice Location Address
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Address Line | 2700 TIBBETS DR STE 300
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City | BEDFORD
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State | TX
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Zip | 76022-5938
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Country | US
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Telephone | 817-873-8963
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 TIBBETS DR STE 300
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City | BEDFORD
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State | TX
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Zip | 76022-5938
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Country | US
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Telephone | 817-873-8963
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MINGHUEI LIU
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Credential | DACM, L. AC
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Telephone | 817-201-7418
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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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