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General NPI Number Information
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NPI Number | 1902284243
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Entity Type | Organization
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Legal Business Name | AMR INTEGRATIVE ACUPUNCTURE & ORIENTAL MEDICINE
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1516 BEECH AVE STE 213
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City | MCALLEN
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State | TX
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Zip | 78501-4891
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Country | US
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Telephone | 214-394-0128
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Fax |
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Provider Business Mailing Address
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Address Line | 214 N 16TH ST STE 213
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City | MCALLEN
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State | TX
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Zip | 78501-7982
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Country | US
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Telephone | 214-394-0128
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANN MARIE RIVERA
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Credential | L.AC., LOTA
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Telephone | 214-394-0128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AC01553
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AC01553
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | C01553
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License Number State | TX
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