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General NPI Number Information
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NPI Number | 1043059702
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE BY AYC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 4212 164TH ST
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City | FLUSHING
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State | NY
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Zip | 11358-2620
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Country | US
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Telephone | 718-701-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 14442 25TH RD
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City | FLUSHING
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State | NY
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Zip | 11354-1360
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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 | PRESIDENT
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Name | AH YOUNG CHANG
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Credential | L.AC
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Telephone | 718-869-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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