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General NPI Number Information
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NPI Number | 1306986856
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Entity Type | Individual
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Provider Name | DEAN K MONITTO DACM, LAC.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 6165 JERICHO TURNPIKE 2ND FLOOR
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City | COMMACK
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State | NY
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Zip | 11725
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Country | US
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Telephone | 631-352-2051
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Fax | 631-982-4729
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Provider Business Mailing Address
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Address Line | 6165 JERICHO TURNPIKE 2ND FLOOR
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City | COMMACK
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State | NY
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Zip | 11725
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Country | US
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Telephone | 631-352-2051
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Fax | 631-982-4729
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP1836
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License Number State | FL
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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 | 004643-01
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License Number State | NY
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