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NPI 1083854228

NPI 1083854228 : WELL-BEING ACUPUNCTURE & HERBS P.C. : BAYSIDE, NY

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General NPI Number Information
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    NPI Number           |    1083854228
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    Entity Type          |    Organization 
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    Legal Business Name  |    WELL-BEING ACUPUNCTURE & HERBS P.C. 
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Dates
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    Enumeration Date     |    02/28/2009
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    Last Update Date     |    02/28/2009
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Provider Practice Location Address
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    Address Line         |    20703 43RD AVE 
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    City                 |    BAYSIDE
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    State                |    NY
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    Zip                  |    11361-2620
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    Country              |    US
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    Telephone            |    718-229-1722
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    Fax                  |    718-229-1772
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Provider Business Mailing Address
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    Address Line         |    20703 43RD AVE 
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    City                 |    BAYSIDE
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    State                |    NY
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    Zip                  |    11361-2620
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    Country              |    US
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    Telephone            |    718-229-1722
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    Fax                  |    718-229-1772
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DANIEL I YI 
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    Credential           |    LIC. ACUPUNCTURIST
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    Telephone            |    718-229-1722
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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       |    003729-1
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    License Number State |    NY
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