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General NPI Number Information
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NPI Number | 1215486824
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Entity Type | Organization
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Legal Business Name | VALLEY ACUPUNCTURE CARE PC
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 3447 77TH STREET
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372
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Country | US
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Telephone | 718-406-9588
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Fax |
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Provider Business Mailing Address
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Address Line | 3447 77TH STREET
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. XIAOHONG ZHAO
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Credential |
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Telephone | 718-406-9588
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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 | 4164
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 4817
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License Number State | NY
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