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General NPI Number Information
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NPI Number | 1245708999
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Entity Type | Organization
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Legal Business Name | GOLDEN LIGHT ACUPUNCTURE, PC
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Dates
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Enumeration Date | 11/10/2018
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Last Update Date | 11/10/2018
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Provider Practice Location Address
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Address Line | 7 INNIS AVE STE 2
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City | NEW PALTZ
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State | NY
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Zip | 12561-1942
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Country | US
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Telephone | 347-778-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 686 ALBANY POST RD
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City | NEW PALTZ
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State | NY
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Zip | 12561-3634
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Country | US
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Telephone | 347-778-1080
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Fax |
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Authorized Official
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Title or Position | CO-PRESIDENT
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Name | MICHAEL LAFEMINA
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Credential | L.AC
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Telephone | 347-778-1080
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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 |
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License Number State |
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