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General NPI Number Information
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NPI Number | 1376966176
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Entity Type | Organization
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Legal Business Name | ACU-ZEN INC.
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 330 EDWARD AVE
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City | WOODMERE
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State | NY
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Zip | 11598-2823
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Country | US
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Telephone | 516-203-4500
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Fax | 516-706-7004
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Provider Business Mailing Address
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Address Line | 330 EDWARD AVE
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City | WOODMERE
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State | NY
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Zip | 11598-2823
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Country | US
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Telephone | 516-203-4500
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Fax | 516-706-7004
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MRS. DEBORAH B ROTHMAN
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Credential | L.AC., DIPL. AC.
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Telephone | 516-203-4500
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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 | 005225
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License Number State | NY
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