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General NPI Number Information
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NPI Number | 1326645136
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Entity Type | Organization
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Legal Business Name | ALPHA ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 52 HUCKLEBERRY HILL RD
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City | BROOKFIELD
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State | CT
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Zip | 06804-2211
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Country | US
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Telephone | 203-558-6169
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Fax |
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Provider Business Mailing Address
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Address Line | 71 NEWTOWN RD UNIT 152
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City | DANBURY
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State | CT
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Zip | 06810-6258
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Country | US
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Telephone | 914-288-5032
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MS. PATRICIA CHEUNG
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Credential | LAC.
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Telephone | 203-558-6169
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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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