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NPI 1356109144

NPI 1356109144 : BROOKLYN CARE ACUPUNCTURE PLLC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1356109144
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    Entity Type          |    Organization 
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    Legal Business Name  |    BROOKLYN CARE ACUPUNCTURE PLLC 
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Dates
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    Enumeration Date     |    03/07/2024
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    Last Update Date     |    03/07/2024
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Provider Practice Location Address
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    Address Line         |    44 COURT ST STE 100010TH 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11201-4405
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    Country              |    US
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    Telephone            |    917-426-1138
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    44 COURT ST STE 100010TH 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11201-4405
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    Country              |    US
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    Telephone            |    917-426-1138
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CO-OWNER / ACUPUNCTURIST
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    Name                 |    MS. ALICE FORBES SPEAR 
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    Credential           |    LAC
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    Telephone            |    917-426-1138
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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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