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General NPI Number Information
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NPI Number | 1497105969
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Entity Type | Organization
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Legal Business Name | CENTERPOINT ORIENTAL MEDICINE, PLLC
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 06/15/2016
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Provider Practice Location Address
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Address Line | 12915 JONES MALTSBERGER RD BUILDING #600
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City | SAN ANTONIO
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State | TX
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Zip | 78247-4282
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Country | US
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Telephone | 512-653-5194
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Fax | 210-855-0462
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Provider Business Mailing Address
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Address Line | 12315 JONES MALTSBERGER RD #406
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City | SAN ANTONIO
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State | TX
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Zip | 78247-4281
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Country | US
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Telephone | 512-653-5194
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Fax | 210-855-0462
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Authorized Official
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Title or Position | FOUNDING MEMBER/ACUPUNCTURIST
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Name | MS. CHRISTANNE SPELL
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Credential | LIC. AC.
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Telephone | 512-653-5194
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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 | AC01619
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC01681
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License Number State | TX
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