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General NPI Number Information
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NPI Number | 1215842414
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Entity Type | Organization
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Legal Business Name | RALLY ACUPUNCTURE P.C.
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 79 MINEOLA BLVD
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City | MINEOLA
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State | NY
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Zip | 11501-4006
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Country | US
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Telephone | 718-414-3869
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Fax |
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Provider Business Mailing Address
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Address Line | 5 EASTERN DR
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-3439
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Country | US
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Telephone | 718-414-3869
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. KYEONGHWAN MIN
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Credential | PT, L.AC.
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Telephone | 718-414-3869
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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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