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General NPI Number Information
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NPI Number | 1245166453
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Entity Type | Organization
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Legal Business Name | SHIHO HEALTH SPA
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 8414 13TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11228-3336
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Country | US
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Telephone | 718-921-2329
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Fax |
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Provider Business Mailing Address
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Address Line | 8639 16TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11214-3611
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Country | US
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Telephone | 347-661-6015
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | DR. ROBERT MCCALLEN M BRACKBILL
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Credential | PHD
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Telephone | 347-661-6015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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