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General NPI Number Information
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NPI Number | 1912216342
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Entity Type | Organization
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Legal Business Name | ACTUAL ACUPUNCTURE AND CHINESE MEDICINE
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 10/04/2010
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Provider Practice Location Address
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Address Line | 4029 S CAPITAL OF TEXAS HWY SUITE 105
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City | AUSTIN
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State | TX
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Zip | 78704-7927
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Country | US
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Telephone | 512-707-1022
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Fax | 512-707-1022
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Provider Business Mailing Address
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Address Line | 10304 GRIZZLY OAK DR
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City | AUSTIN
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State | TX
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Zip | 78748-3977
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Country | US
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Telephone | 512-657-8117
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GUILI ZHENG
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Credential | PH. D. MD(CHINA)
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Telephone | 512-707-1022
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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 | AC00587
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License Number State | TX
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