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General NPI Number Information
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NPI Number | 1215776760
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Entity Type | Organization
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Legal Business Name | CARLE PLACE ACUPUNCTURE PC
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 225 OLD COUNTRY RD
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City | CARLE PLACE
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State | NY
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Zip | 11514-1907
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Country | US
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Telephone | 516-376-3703
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Fax |
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Provider Business Mailing Address
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Address Line | 225 OLD COUNTRY RD
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City | CARLE PLACE
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State | NY
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Zip | 11514-1907
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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 | JOSH LEE
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Credential | MD PHD LAC
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Telephone | 516-376-3703
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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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