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General NPI Number Information
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NPI Number | 1336018332
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Entity Type | Organization
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Legal Business Name | KELLY 121 ACUPUNCTURE
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 121 E 60TH ST APT 2A
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City | NEW YORK
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State | NY
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Zip | 10022-1164
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Country | US
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Telephone | 347-885-1865
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Fax |
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Provider Business Mailing Address
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Address Line | 121 E 60TH ST APT 2A
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City | NEW YORK
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State | NY
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Zip | 10022-1164
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Country | US
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Telephone | 347-885-1865
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Fax |
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Authorized Official
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Title or Position | CEO AND FOUNDER
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Name | DR. KELLY LIIUS
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Credential | DR.
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Telephone | 347-885-1865
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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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