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General NPI Number Information
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NPI Number | 1497181150
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Entity Type | Organization
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Legal Business Name | EASTERN PEARL ACUPUNCTURE
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Dates
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Enumeration Date | 09/25/2013
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 2683 WILCREST DR
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City | HOUSTON
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State | TX
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Zip | 77042-3211
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Country | US
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Telephone | 713-781-6688
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Fax |
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Provider Business Mailing Address
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Address Line | 1807 WOODLAND SPRINGS ST
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City | HOUSTON
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State | TX
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Zip | 77077-5036
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Country | US
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Telephone | 713-781-6688
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZILI ZHONG
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Credential | L.AC.
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Telephone | 713-781-6688
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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 | AC01069
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License Number State | TX
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