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General NPI Number Information
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NPI Number | 1326424094
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Entity Type | Organization
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Legal Business Name | ADVANCED ACUPUNCTURE SERVICES
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 08/21/2015
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Provider Practice Location Address
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Address Line | 205 W 54TH ST APT 1C
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City | NEW YORK
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State | NY
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Zip | 10019-5512
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Country | US
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Telephone | 212-397-8988
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Fax | 212-397-8899
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Provider Business Mailing Address
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Address Line | 205 W 54TH ST APT 1C
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City | NEW YORK
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State | NY
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Zip | 10019-5512
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Country | US
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Telephone | 212-397-8988
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Fax | 212-397-8899
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | DR. BAOKU LIU
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Credential |
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Telephone | 212-397-8988
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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 | 000708
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License Number State | NY
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