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General NPI Number Information
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NPI Number | 1235619941
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Entity Type | Organization
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Legal Business Name | BOROPARK ACUPUNCTURE P.C.
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 5606 FORT HAMILTON PKWY
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City | BROOKLYN
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State | NY
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Zip | 11219-4415
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Country | US
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Telephone | 718-686-8139
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Fax |
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Provider Business Mailing Address
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Address Line | 5606 FORT HAMILTON PKWY
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City | BROOKLYN
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State | NY
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Zip | 11219-4415
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Country | US
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Telephone | 718-686-8139
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WEIQUN WANG
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Credential |
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Telephone | 347-463-1834
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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 | 000555
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License Number State | NY
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