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General NPI Number Information
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NPI Number | 1053135376
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Entity Type | Organization
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Legal Business Name | QINGXIA REN ACUPUNCTURE PC
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 1100 STEWART AVE STE B
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City | GARDEN CITY
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State | NY
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Zip | 11530-4839
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Country | US
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Telephone | 646-361-6768
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Fax |
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Provider Business Mailing Address
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Address Line | 118 CENTRAL BLVD
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-4228
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Country | US
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Telephone | 646-361-6768
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. QINGXIA REN
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Credential | MAS
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Telephone | 646-361-6768
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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 |
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License Number State |
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