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General NPI Number Information
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NPI Number | 1376690123
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Entity Type | Individual
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Provider Name | MOIRA JEAN MCCARTHY LAC
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2525 WALLINGWOOD DR STE 1500
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City | AUSTIN
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State | TX
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Zip | 78746-6923
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Country | US
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Telephone | 512-453-6555
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Fax | 512-347-1119
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Provider Business Mailing Address
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Address Line | 2525 WALLINGWOOD DR STE 1500
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City | AUSTIN
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State | TX
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Zip | 78746-6923
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Country | US
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Telephone | 512-453-6555
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Fax | 512-347-1119
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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 | AC00078
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License Number State | TX
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