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General NPI Number Information
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NPI Number | 1346542305
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Entity Type | Organization
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Legal Business Name | ACUSKIN WELLNESS CENTER LLC.
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 11201 RICHMOND AVE STE 100B
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City | HOUSTON
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State | TX
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Zip | 77082-2670
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Country | US
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Telephone | 281-493-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 11201 RICHMOND AVE STE 100B
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City | HOUSTON
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State | TX
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Zip | 77082-2670
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Country | US
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Telephone | 281-493-3535
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PROF. CHRISTINA SUE
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Credential | LAC
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Telephone | 281-493-3535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | LAC. 01082
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License Number State |
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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 | LAC. 01082
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License Number State | TX
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