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General NPI Number Information
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NPI Number | 1285286856
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Entity Type | Organization
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Legal Business Name | NEUROLOQI ACUPUNCTURE
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 600 PARK AVE CARRIAGE HOUSE
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City | ROCHESTER
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State | NY
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Zip | 14607
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Country | US
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Telephone | 585-542-9239
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Fax |
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Provider Business Mailing Address
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Address Line | 600 PARK AVE CARRIAGE HOUSE
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City | ROCHESTER
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State | NY
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Zip | 14607
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Country | US
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Telephone | 585-542-9239
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Fax |
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Authorized Official
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Title or Position | LAC LICENSED ACUPUNCTURIST
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Name | MS. DESIREE SALE
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Credential | LAC
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Telephone | 585-542-9239
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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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