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General NPI Number Information
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NPI Number | 1477053502
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Entity Type | Organization
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Legal Business Name | ELITE ACUPUNCTURES CLINIC PLLC
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Dates
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Enumeration Date | 02/15/2018
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 2550 GRAY FALLS DR STE 100L
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City | HOUSTON
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State | TX
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Zip | 77077-6674
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Country | US
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Telephone | 281-410-4293
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 GRAY FALLS DR STE 100L
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City | HOUSTON
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State | TX
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Zip | 77077-6674
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Country | US
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Telephone | 281-410-4293
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | NADA ABU-SHAFE
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Credential | MAOM
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Telephone | 281-410-4293
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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 | 01774
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License Number State | TX
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