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General NPI Number Information
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NPI Number | 1366967333
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Entity Type | Individual
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Provider Name | MICHELLE HAN DAOM, L.AC.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 12 W 27TH ST FL 9
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City | NEW YORK
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State | NY
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Zip | 10001-6903
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Country | US
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Telephone | 678-643-3186
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Fax |
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Provider Business Mailing Address
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Address Line | 245 E 40TH ST APT 24B
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City | NEW YORK
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State | NY
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Zip | 10016-1718
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Country | US
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Telephone | 404-692-9408
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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 | 006587
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License Number State | NY
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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 | 388
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License Number State | GA
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