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NPI 1255168761

NPI 1255168761 : GIANNA MASI L.AC. : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1255168761
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    Entity Type          |    Individual 
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    Provider Name        |    GIANNA MASI L.AC.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/18/2024
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    Last Update Date     |    09/18/2024
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Provider Practice Location Address
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    Address Line         |    141 S 5TH ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11211-5597
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    Country              |    US
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    Telephone            |    310-699-1214
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    574 PRESIDENT ST APT 4 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11215-1019
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    Country              |    US
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    Telephone            |    310-699-1214
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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       |    007514
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    License Number State |    NY
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