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General NPI Number Information
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NPI Number | 1992290076
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE AND WELLNESS CLINIC
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 06/29/2018
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Provider Practice Location Address
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Address Line | 3100 TIMMONS LN STE 540
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City | HOUSTON
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State | TX
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Zip | 77027-5953
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Country | US
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Telephone | 713-960-1994
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 TIMMONS LN STE 540
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City | HOUSTON
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State | TX
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Zip | 77027-5953
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Country | US
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Telephone | 713-960-1994
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Fax |
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Authorized Official
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Title or Position | PROFESSOR
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Name | DR. TONG WANG
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Credential | PH.D
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Telephone | 832-727-6767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AC01405
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License Number State | TX
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