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General NPI Number Information
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NPI Number | 1063880813
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Entity Type | Individual
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Provider Name | MS. SOOHEE STRAUB
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Gender | Female
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 09/10/2015
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Provider Practice Location Address
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Address Line | 1841 BROADWAY STE 907
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City | NEW YORK
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State | NY
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Zip | 10023-7603
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Country | US
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Telephone | 646-719-1883
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Fax |
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Provider Business Mailing Address
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Address Line | 184 KENT AVE APT A301
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City | BROOKLYN
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State | NY
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Zip | 11249-3176
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Country | US
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Telephone | 917-751-1050
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Fax | 646-719-1758
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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 | 005629
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License Number State | NY
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