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General NPI Number Information
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NPI Number | 1104075068
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE RESEARCH AND DEVELOPMENT
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 170 W 12TH ST LINK 195
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City | NEW YORK
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State | NY
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Zip | 10011-8202
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Country | US
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Telephone | 212-604-8678
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Fax |
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Provider Business Mailing Address
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Address Line | 30 E 40TH ST PH-SE
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City | NEW YORK
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State | NY
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Zip | 10016-1201
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Country | US
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Telephone | 212-389-6348
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NING MA
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Credential | L. AC
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Telephone | 212-389-6348
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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 | 01567
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License Number State | NY
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