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General NPI Number Information
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NPI Number | 1073329660
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Entity Type | Individual
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Provider Name | CLAUDINE SARRAF AMIRIAN LAC, MSTOM LAC, MSTOM
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 9 BLUE SEA LN
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City | GREAT NECK
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State | NY
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Zip | 11024-1503
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Country | US
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Telephone | 917-309-2758
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Fax |
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Provider Business Mailing Address
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Address Line | 162 WILDWOOD RD
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City | GREAT NECK
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State | NY
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Zip | 11024-1112
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Country | US
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Telephone | 917-309-2758
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 27321
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License Number State | NY
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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 | 0054351
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License Number State |
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