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General NPI Number Information
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NPI Number | 1184225765
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Entity Type | Organization
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Legal Business Name | WU-WEI ACUPUNCTURE & HERBS, PC
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 56A MOTOR AVE
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City | SOUTH FARMINGDALE
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State | NY
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Zip | 11735-4038
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Country | US
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Telephone | 516-752-1910
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Fax |
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Provider Business Mailing Address
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Address Line | 740 E BROADWAY APT 1G
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City | LONG BEACH
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State | NY
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Zip | 11561-4702
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Country | US
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Telephone | 914-646-4545
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUSTIN MANDEL
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Credential | LAC
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Telephone | 914-646-4545
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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 |
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License Number State |
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