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General NPI Number Information
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NPI Number | 1982793501
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Entity Type | Individual
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Provider Name | WEISHAN KUO MASTER OF ACUPUNCTUR
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1930 RAWHIDE DR STE 402
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City | ROUND ROCK
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State | TX
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Zip | 78681-6953
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Country | US
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Telephone | 512-244-7888
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Fax | 512-244-7888
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Provider Business Mailing Address
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Address Line | 15204 ROSEHIP LN
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3096
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Country | US
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Telephone | 512-638-2168
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Fax | 512-244-7888
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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 | LAC00824
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License Number State | TX
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