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General NPI Number Information
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NPI Number | 1275483687
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Entity Type | Individual
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Provider Name | HAENGEUI SEO
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Gender | Female
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 303 5TH AVE RM 703
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City | NEW YORK
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State | NY
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Zip | 10016-6684
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Country | US
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Telephone | 917-363-2551
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Fax |
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Provider Business Mailing Address
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Address Line | 226B 2ND ST
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City | PALISADES PARK
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State | NJ
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Zip | 07650-1763
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Country | US
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Telephone | 201-485-9020
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X013985-01
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License Number State | NY
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