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General NPI Number Information
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NPI Number | 1326478306
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Entity Type | Organization
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Legal Business Name | WISDOM HOUSE NEW YORK, INC.
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 11/12/2013
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Provider Practice Location Address
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Address Line | 200 W 57TH ST STE 1010
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City | NEW YORK
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State | NY
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Zip | 10019-3215
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Country | US
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Telephone | 212-245-0336
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Fax |
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Provider Business Mailing Address
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Address Line | 200 W 57TH ST STE 1010
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City | NEW YORK
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State | NY
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Zip | 10019-3215
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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. JEAN MENGES
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Credential |
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Telephone | 212-245-0336
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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 | 1376
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License Number State | NY
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