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General NPI Number Information
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NPI Number | 1053986653
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Entity Type | Organization
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Legal Business Name | PROFOUND POINTS ACUPUNCTURE PC
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 8784 165TH ST APT 105
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City | JAMAICA
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State | NY
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Zip | 11432-3542
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Country | US
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Telephone | 917-676-8265
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Fax |
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Provider Business Mailing Address
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Address Line | 8784 165TH ST APT 105
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City | JAMAICA
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State | NY
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Zip | 11432-3542
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Country | US
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Telephone | 917-676-8265
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VICTOR ESCORBORES II
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Credential | DAC
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Telephone | 917-676-8265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173C00000X
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Taxonomy Name | Reflexologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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