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General NPI Number Information
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NPI Number | 1134579295
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Entity Type | Organization
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Legal Business Name | TAO HEALING ARTS
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Dates
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Enumeration Date | 06/20/2016
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 1859 TRUMANSBURG RD
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City | TRUMANSBURG
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State | NY
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Zip | 14886-8915
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Country | US
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Telephone | 607-387-4577
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Fax | 607-697-2603
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Provider Business Mailing Address
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Address Line | 1859 TRUMANSBURG RD
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City | TRUMANSBURG
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State | NY
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Zip | 14886-8915
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Country | US
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Telephone | 607-387-4577
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Fax | 607-697-2603
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MR. BRYAN LEONARD ISACKS JR.
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Credential | M.S., L.AC.
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Telephone | 607-387-4577
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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 | 003645
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License Number State | NY
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