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General NPI Number Information
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NPI Number | 1285016840
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Entity Type | Organization
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Legal Business Name | RUN HONG TANG HERBAL INC
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 1720 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11229
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Country | US
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Telephone | 646-641-8529
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11229-3812
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Country | US
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Telephone | 164-654-1852
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Fax |
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Authorized Official
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Title or Position | EMPLOYER
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Name | DR. RUN HONG LI
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Credential | DR
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Telephone | 646-541-8529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 021994
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 002333
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License Number State | NY
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