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General NPI Number Information
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NPI Number | 1336656420
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Entity Type | Organization
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Legal Business Name | SUNNYWOOD ACUPUNCTURE P.C.
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 4303 48TH AVE
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City | WOODSIDE
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State | NY
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Zip | 11377-6241
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Country | US
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Telephone | 929-522-0929
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Fax | 929-522-0965
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Provider Business Mailing Address
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Address Line | 4153 150TH ST FL 1
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City | FLUSHING
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State | NY
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Zip | 11355-1023
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Country | US
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Telephone | 917-683-3740
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. HO RHEEM RIM
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Credential | L.AC
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Telephone | 917-683-3740
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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 | 004026
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License Number State | NY
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