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General NPI Number Information
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NPI Number | 1386507697
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Entity Type | Organization
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Legal Business Name | JIA WANG ACUPUNCTURE PLLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 17017 65TH AVE
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-1925
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Country | US
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Telephone | 347-691-8363
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Fax |
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Provider Business Mailing Address
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Address Line | 17017 65TH AVE
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-1925
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Country | US
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Telephone | 347-691-8363
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | JIA WANG
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Credential |
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Telephone | 347-691-8363
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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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