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General NPI Number Information
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NPI Number | 1255760682
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Entity Type | Individual
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Provider Name | EKATERINA FEMMINELLA ACUPUNCTURIST, MASSA
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Gender | Female
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 181 MAIN ST STE 105
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City | HUNTINGTON
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State | NY
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Zip | 11743
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Country | US
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Telephone | 646-431-9838
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Fax |
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Provider Business Mailing Address
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Address Line | 181 MAIN ST STE 105
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City | HUNTINGTON
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State | NY
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Zip | 11743-6918
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Country | US
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Telephone | 646-431-9838
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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 | 003125-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 022678-1
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License Number State | NY
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