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General NPI Number Information
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NPI Number | 1356684203
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Entity Type | Organization
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Legal Business Name | JNC ACUPUNTURE, P.C
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/29/2013
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Provider Practice Location Address
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Address Line | 11651 JOLLYVILLE RD STE 150
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City | AUSTIN
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State | TX
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Zip | 78759-4106
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Country | US
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Telephone | 512-993-4788
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Fax |
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Provider Business Mailing Address
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Address Line | 11651 JOLLYVILLE RD STE 150
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City | AUSTIN
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State | TX
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Zip | 78759-4106
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Country | US
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Telephone | 512-993-4788
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | EUN JEEN JUNG
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Credential | L,AC
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Telephone | 512-993-4788
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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 | AC01320
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License Number State | TX
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