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General NPI Number Information
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NPI Number | 1356756878
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Entity Type | Organization
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Legal Business Name | MERIDIAN ELEMENTS INC.
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 10851 FERGUSON RD SUITEA
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City | DALLAS
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State | TX
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Zip | 75228-2615
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Country | US
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Telephone | 972-900-2881
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Fax |
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Provider Business Mailing Address
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Address Line | 6106 HOMEWOOD AVE
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City | ROWLETT
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State | TX
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Zip | 75089-8234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST/HERBALIST
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Name | SHUMEI LIANG
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Credential |
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Telephone | 972-900-2881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State | TX
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