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General NPI Number Information
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NPI Number | 1558543561
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Entity Type | Individual
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Provider Name | SHIU YEE JON LICENSED ACUPUNCTURI
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Gender | Female
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 2109 WEST TEXAS AVE SUITE F
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City | MIDLAND
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State | TX
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Zip | 79701
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Country | US
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Telephone | 432-683-6533
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 WEST TEXAS AVE SUITE F
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City | MIDLAND
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State | TX
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Zip | 79701
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Country | US
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Telephone | 432-683-6533
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Fax |
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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 | AC100018
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License Number State | TX
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