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General NPI Number Information
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NPI Number | 1225411952
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Entity Type | Organization
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Legal Business Name | KIMURA ACUPUNCTURE P.C.
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 05/05/2023
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Provider Practice Location Address
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Address Line | 99 HILLSIDE AVE SUITE K
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City | WILLISTON PARK
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State | NY
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Zip | 11596-2352
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Country | US
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Telephone | 516-882-1292
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Fax |
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Provider Business Mailing Address
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Address Line | 99 HILLSIDE AVE STE R
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City | WILLISTON PARK
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State | NY
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Zip | 11596-2368
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Country | US
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Telephone | 516-882-1292
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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 | MS. RUMIKO KIMURA-GALZINA
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Credential | L.AC.
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Telephone | 516-882-1292
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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 | 003839
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License Number State | NY
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