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General NPI Number Information
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NPI Number | 1346504461
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Entity Type | Individual
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Provider Name | LING YUAN ACUPUNCTURIST
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Gender | Female
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 930 S BELL BLVD STE 303
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City | CEDAR PARK
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State | TX
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Zip | 78613-3975
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Country | US
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Telephone | 512-239-9703
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Fax |
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Provider Business Mailing Address
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Address Line | 2316 GOLDEN GATE PARK
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City | AUSTIN
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State | TX
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Zip | 78732-2420
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Country | US
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Telephone | 512-266-9628
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | TX
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