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General NPI Number Information
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NPI Number | 1881715670
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Entity Type | Individual
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Provider Name | MING HUI LAI OMD, L. AC., DIPL.AC
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 1001 WASHINGTON AVE # 102
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City | FORT WORTH
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State | TX
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Zip | 76104-3021
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Country | US
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Telephone | 817-386-3552
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Fax |
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Provider Business Mailing Address
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Address Line | 8624 CLOUDYWAY DR
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City | FORT WORTH
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State | TX
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Zip | 76123-1686
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Country | US
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Telephone | 817-901-2139
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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 | AC00964
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License Number State | TX
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