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General NPI Number Information
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NPI Number | 1255525903
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Entity Type | Organization
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Legal Business Name | CHUNG-HWEI CHERNLY ACUPUNCTURE CENTER, INC.
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 470 W HARWOOD RD
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City | HURST
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State | TX
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Zip | 76054-2939
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Country | US
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Telephone | 817-498-8449
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Fax | 817-281-4829
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Provider Business Mailing Address
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Address Line | 470 W HARWOOD RD
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City | HURST
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State | TX
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Zip | 76054-2939
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Country | US
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Telephone | 817-498-8449
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Fax | 817-281-4829
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Authorized Official
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Title or Position | INSURANCE/CREDENTIALING COORDINATOR
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Name | MRS. TANYA SEXTON
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Credential | LMT
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Telephone | 817-498-8449
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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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