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General NPI Number Information
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NPI Number | 1417699059
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Entity Type | Organization
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Legal Business Name | DD CARE ACUPUNCTURE CLINIC
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Dates
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Enumeration Date | 04/13/2022
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 4320 SPRING VALLEY RD
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City | DALLAS
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State | TX
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Zip | 75244-3701
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Country | US
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Telephone | 972-404-4442
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Fax | 972-404-4404
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Provider Business Mailing Address
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Address Line | 4320 SPRING VALLEY RD
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City | DALLAS
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State | TX
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Zip | 75244-3701
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Country | US
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Telephone | 972-404-4442
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Fax | 972-404-4404
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Authorized Official
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Title or Position | LAC
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Name | DASHIMA DOVCHIN
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Credential | LAC
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Telephone | 972-404-4442
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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 |
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License Number State |
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