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General NPI Number Information
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NPI Number | 1730057282
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Entity Type | Individual
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Provider Name | ERIC GROSE DAOM, L.AC
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Gender | Male
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 4295 SAN FELIPE ST STE 225
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City | HOUSTON
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State | TX
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Zip | 77027-2951
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Country | US
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Telephone | 713-487-7618
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Fax |
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Provider Business Mailing Address
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Address Line | 6512 TAGGART ST UNIT A
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City | HOUSTON
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State | TX
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Zip | 77007-2084
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Country | US
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Telephone | 713-701-9725
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AC00550
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License Number State | TX
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