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General NPI Number Information
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NPI Number | 1295991438
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Entity Type | Organization
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Legal Business Name | LIGHT TOUCH ACUPUNCTURE
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Dates
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Enumeration Date | 08/06/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 80 5TH AVE RM 1205
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City | NEW YORK
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State | NY
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Zip | 10011-8016
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Country | US
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Telephone | 917-373-5346
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Fax |
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Provider Business Mailing Address
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Address Line | 2540 SHORE BLVD APT 1G
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City | ASTORIA
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State | NY
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Zip | 11102-3942
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. YULIYA CHERNYAK
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Credential | L.AC.
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Telephone | 917-373-5346
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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 | 003795
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License Number State | NY
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