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General NPI Number Information
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NPI Number | 1356956056
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Entity Type | Organization
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Legal Business Name | ALL ISLAND ACUPUNCTURE AND MASSAGE P.C.
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 1018 WAVERLY AVE UNIT 13
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City | HOLTSVILLE
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State | NY
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Zip | 11742-1128
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Country | US
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Telephone | 516-633-8685
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Fax |
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Provider Business Mailing Address
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Address Line | 563 PAULEY DR
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2222
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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 | OWNER
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Name | GERARD MAGGIO
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Credential | LAC, LMT
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Telephone | 516-633-8685
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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