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General NPI Number Information
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NPI Number | 1790129120
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Entity Type | Individual
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Provider Name | CAROLYN HINOJOS L.AC.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 3305 LONG PRAIRIE RD STE. 120
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2702
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Country | US
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Telephone | 915-345-8114
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Fax |
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Provider Business Mailing Address
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Address Line | 3305 LONG PRAIRIE RD STE. 120
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2702
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Country | US
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Telephone | 915-345-8114
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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 | 1083
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0000
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License Number State | TX
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