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General NPI Number Information
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NPI Number | 1225998420
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Entity Type | Individual
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Provider Name | JACQUELINE KOOK L.AC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 252 W 38TH ST RM 406
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City | NEW YORK
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State | NY
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Zip | 10018-5178
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Country | US
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Telephone | 646-543-5153
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Fax |
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Provider Business Mailing Address
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Address Line | 218 W 113TH ST APT 2D
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City | NEW YORK
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State | NY
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Zip | 10026-3361
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Country | US
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Telephone | 917-526-1003
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 006654
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License Number State | NY
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