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General NPI Number Information
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NPI Number | 1114292745
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Entity Type | Organization
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Legal Business Name | JIANG ACUPUNCTURE PC
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Dates
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Enumeration Date | 03/15/2012
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 9429 75TH ST
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City | OZONE PARK
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State | NY
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Zip | 11416-1005
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Country | US
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Telephone | 718-886-8180
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Fax | 718-886-8183
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Provider Business Mailing Address
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Address Line | 9429 75TH ST
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City | OZONE PARK
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State | NY
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Zip | 11416-1005
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Country | US
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Telephone | 917-595-6078
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURE
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Name | XIAO-YAN JIANG
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Credential | LAC
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Telephone | 917-595-6078
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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 | 00261
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License Number State | NY
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