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General NPI Number Information
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NPI Number | 1346631710
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Entity Type | Individual
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Provider Name | ENG KHENG TAN L.AC., LMT
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Gender | Female
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 5555 N LAMAR BLVD SUITE 155
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City | AUSTIN
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State | TX
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Zip | 78751-1073
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Country | US
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Telephone | 512-934-7889
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 151923
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City | AUSTIN
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State | TX
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Zip | 78715-1923
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Country | US
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Telephone | 512-934-7889
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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 | AC01469
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License Number State | TX
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