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General NPI Number Information
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NPI Number | 1205460102
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Entity Type | Organization
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Legal Business Name | STRONG ISLAND ACUPUNCTURE AND CHIROPRACTIC ASSOCIATES PLLC
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Dates
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Enumeration Date | 02/28/2020
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 1799 BRENTWOOD RD
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City | BRENTWOOD
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State | NY
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Zip | 11717-4611
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Country | US
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Telephone | 631-388-5979
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Fax |
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Provider Business Mailing Address
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Address Line | 1799 BRENTWOOD RD
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City | BRENTWOOD
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State | NY
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Zip | 11717-4611
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Country | US
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Telephone | 631-388-5979
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | NICOLE PULASKI
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Credential | L.AC.
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Telephone | 516-849-9181
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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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