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General NPI Number Information
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NPI Number | 1205058989
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Entity Type | Organization
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Legal Business Name | ACE ACUPUNCTURE & NATURAL HEALTH
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/24/2014
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Provider Practice Location Address
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Address Line | 20920 18TH AVE #2C
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City | BAYSIDE
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State | NY
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Zip | 11360-1452
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Country | US
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Telephone | 646-748-6329
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Fax |
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Provider Business Mailing Address
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Address Line | 20920 18TH AVE #2C
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City | BAYSIDE
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State | NY
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Zip | 11360-1452
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Country | US
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Telephone | 646-748-6329
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DONGHOON KANG
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Credential |
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Telephone | 646-748-6329
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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 | 003015
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License Number State | NY
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