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General NPI Number Information
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NPI Number | 1225350762
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Entity Type | Organization
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Legal Business Name | AMITYVILLE ACUPUNCTURE & MASSAGE
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 134 BROADWAY A
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City | AMITYVILLE
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State | NY
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Zip | 11701-2771
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Country | US
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Telephone | 631-691-0200
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Fax | 631-691-0202
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Provider Business Mailing Address
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Address Line | 134 BROADWAY A
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City | AMITYVILLE
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State | NY
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Zip | 11701-2771
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Country | US
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Telephone | 631-691-0200
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Fax | 631-691-0202
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ERIN HURME
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Credential | MSTOM, LAC, LMT
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Telephone | 631-691-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 37031
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License Number State | NY
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