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General NPI Number Information
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NPI Number | 1568869006
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Entity Type | Organization
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Legal Business Name | SHI ACUPUNCTURE & HERBAL CLINIC LLC
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Dates
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Enumeration Date | 11/27/2014
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Last Update Date | 11/27/2014
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Provider Practice Location Address
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Address Line | 1906 W ALABAMA ST
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City | HOUSTON
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State | TX
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Zip | 77098-2706
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Country | US
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Telephone | 832-986-5466
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Fax |
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Provider Business Mailing Address
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Address Line | 1906 W ALABAMA ST
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City | HOUSTON
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State | TX
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Zip | 77098-2706
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Country | US
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Telephone | 832-986-5466
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | DR. SHANG-JIN SHI
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Credential | L.AC,M.D.(CHINA),PHD
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Telephone | 832-986-5466
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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 | AC01454
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License Number State | TX
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