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General NPI Number Information
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NPI Number | 1639584808
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Entity Type | Organization
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Legal Business Name | RIVER OAKS WELLNESS CENTER
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Dates
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Enumeration Date | 06/26/2014
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Last Update Date | 06/26/2014
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Provider Practice Location Address
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Address Line | 2202 W ALABAMA ST STE. C
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City | HOUSTON
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State | TX
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Zip | 77098-2404
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Country | US
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Telephone | 832-413-3842
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Fax |
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Provider Business Mailing Address
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Address Line | 2202 W ALABAMA ST STE. C
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City | HOUSTON
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State | TX
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Zip | 77098-2404
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Country | US
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Telephone | 832-413-3842
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Fax |
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Authorized Official
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Title or Position | OWNER, ACUPUNCTURIST
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Name | MARY MCCAUGHEY
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Credential | L.AC.
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Telephone | 832-413-3842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AC01340
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License Number State | TX
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