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NPI 1922264449

NPI 1922264449 : YAN ZHANG AC : LUBBOCK, TX

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General NPI Number Information
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    NPI Number           |    1922264449
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    Entity Type          |    Individual 
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    Provider Name        |    YAN ZHANG AC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2008
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    Last Update Date     |    05/06/2016
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Provider Practice Location Address
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    Address Line         |    3601 4TH ST 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79430-0002
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    Country              |    US
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    Telephone            |    806-743-2757
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    Fax                  |    806-743-2563
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5865 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79408-5865
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    Country              |    US
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    Telephone            |    806-743-2898
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    Fax                  |    806-743-2787
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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       |    AC01048
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    License Number State |    TX
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