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General NPI Number Information
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NPI Number | 1134369564
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Entity Type | Individual
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Provider Name | YELENA VINOKUR L.AC
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Gender | Female
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 119 CLIFFORD ST SUITE 103A
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City | NEWARK
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State | NJ
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Zip | 07105
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Country | US
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Telephone | 973-344-4750
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Fax |
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Provider Business Mailing Address
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Address Line | 165 PEMBROKE ST
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City | BROOKLYN
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State | NY
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Zip | 11235-2312
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Country | US
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Telephone | 347-432-1926
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Fax | 973-344-4751
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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 | 25MZ00033000
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License Number State | NJ
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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 | 2171
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License Number State | NY
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