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NPI 1629940192

NPI 1629940192 : BEYOND ACUPUNCTURE : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1629940192
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEYOND ACUPUNCTURE 
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Dates
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    Enumeration Date     |    09/23/2025
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    5501 INDEPENDENCE PKWY STE 312 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75023-5461
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    Country              |    US
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    Telephone            |    945-344-5008
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5501 INDEPENDENCE PKWY STE 312 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75023-5461
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    LICENSED ACUPUNCTURIST
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    Name                 |     MIRA  JUNG 
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    Credential           |    
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    Telephone            |    945-344-5008
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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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