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General NPI Number Information
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NPI Number | 1174005599
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Entity Type | Organization
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Legal Business Name | LOVE GALAXY ACUPUNCTURE PC
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Dates
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Enumeration Date | 09/01/2018
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 8555 LITTLE NECK PKWY
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City | FLORAL PARK
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State | NY
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Zip | 11001-1033
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Country | US
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Telephone | 831-251-0872
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Fax |
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Provider Business Mailing Address
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Address Line | 92 TRUXTON RD
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City | HUNTINGTON
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State | NY
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Zip | 11746
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Country | US
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Telephone | 831-251-0872
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MORGAN JOAQUIN SEARS
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Credential | ACUPUNCTURIST
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Telephone | 831-251-0872
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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 | 006134
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License Number State | NY
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