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General NPI Number Information
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NPI Number | 1396223236
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Entity Type | Organization
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Legal Business Name | JJRR
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 5909 7TH AVE BSMT
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City | BROOKLYN
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State | NY
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Zip | 11220-4147
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Country | US
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Telephone | 917-256-9319
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Fax |
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Provider Business Mailing Address
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Address Line | 5909 7TH AVE BSMT
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City | BROOKLYN
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State | NY
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Zip | 11220-4147
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Country | US
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Telephone | 917-256-9319
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Fax |
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Authorized Official
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Title or Position | BOSS
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Name | WU JIANG
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Credential |
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Telephone | 917-256-9319
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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 | 005951
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License Number State | NY
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