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General NPI Number Information
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NPI Number | 1982835997
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Entity Type | Organization
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Legal Business Name | MEMORIAL ACUPUNCTURE AND PAIN MANANGEMENT CLINIC
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Dates
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Enumeration Date | 08/07/2009
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Last Update Date | 08/07/2009
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Provider Practice Location Address
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Address Line | 13480 VETERANS MEMORIAL DR
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City | HOUSTON
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State | TX
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Zip | 77014-1696
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Country | US
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Telephone | 281-537-6699
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Fax |
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Provider Business Mailing Address
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Address Line | 13480 VETERANS MEMORIAL DR
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City | HOUSTON
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State | TX
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Zip | 77014-1696
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAIXUN LIU
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Credential |
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Telephone | 281-537-6699
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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 | AC00044
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License Number State | TX
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