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General NPI Number Information
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NPI Number | 1659079473
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Entity Type | Organization
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Legal Business Name | ICARE ACUPUNCTURE
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | 4425 PLANO PKWY STE 1501
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City | CARROLLTON
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State | TX
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Zip | 75010-5037
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Country | US
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Telephone | 469-892-6328
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Fax |
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Provider Business Mailing Address
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Address Line | 4425 PLANO PKWY STE 1501
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City | CARROLLTON
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State | TX
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Zip | 75010-5037
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Country | US
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Telephone | 469-892-6328
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAW JINN TSAUR
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Credential | ACUPUNCTURIST
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Telephone | 469-424-4195
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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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