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General NPI Number Information
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NPI Number | 1063548113
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Entity Type | Individual
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Provider Name | ROBERTA V. IANNI-KURTA L.AC.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2007
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 414 JERICHO TPKE
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-4510
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Country | US
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Telephone | 516-532-9118
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7195
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City | GARDEN CITY
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State | NY
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Zip | 11530-7195
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Country | US
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Telephone | 516-532-9118
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 001304
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License Number State | NY
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