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General NPI Number Information
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NPI Number | 1598454423
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Entity Type | Organization
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Legal Business Name | LOTUS ACUPUNCTURE AND CHINESE MEDICINE, LLC
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 9717 E 42ND ST STE 130
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City | TULSA
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State | OK
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Zip | 74146-3677
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Country | US
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Telephone | 918-703-0724
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Fax | 918-928-3606
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Provider Business Mailing Address
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Address Line | 9717 E 42ND ST STE 130
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City | TULSA
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State | OK
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Zip | 74146-3677
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Country | US
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Telephone | 918-703-0724
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Fax | 918-928-3606
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Authorized Official
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Title or Position | OWNER
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Name | BRANDY M VALENTINE
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Credential | LAC
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Telephone | 539-250-9959
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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 |
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License Number State |
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