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General NPI Number Information
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NPI Number | 1295647022
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Entity Type | Organization
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Legal Business Name | NUYU SKIN BODY MIND LLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 190 E JERICHO TPKE
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City | MINEOLA
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State | NY
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Zip | 11501-2054
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Country | US
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Telephone | 516-774-4333
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Fax |
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Provider Business Mailing Address
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Address Line | 145 ROSELLE ST
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City | MINEOLA
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State | NY
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Zip | 11501-2035
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Country | US
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Telephone | 516-774-4333
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RENA GHELICHKHANI
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Credential |
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Telephone | 516-774-4333
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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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