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NPI 1366684482

NPI 1366684482 : CRAIG LINDON WEINSTEIN L.AC., L.M.T. : WILLISTON PARK, NY

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General NPI Number Information
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    NPI Number           |    1366684482
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    Entity Type          |    Individual 
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    Provider Name        |    CRAIG LINDON WEINSTEIN L.AC., L.M.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/03/2009
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    Last Update Date     |    04/03/2009
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Provider Practice Location Address
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    Address Line         |    153 HILLSIDE AVE 
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    City                 |    WILLISTON PARK
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    State                |    NY
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    Zip                  |    11596-1700
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    Country              |    US
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    Telephone            |    516-248-7762
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 217 
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    City                 |    GARDEN CITY
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    State                |    NY
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    Zip                  |    11530-0217
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    Country              |    US
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    Telephone            |    516-248-7762
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    003129
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    017008
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    License Number State |    NY
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