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General NPI Number Information
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NPI Number | 1396944666
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Entity Type | Organization
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Legal Business Name | HARTSDALE ACUPUNCTURE P.L.L.C.
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 68 E HARTSDALE AVE STE 1E
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City | HARTSDALE
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State | NY
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Zip | 10530-2774
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Country | US
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Telephone | 914-681-9888
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Fax | 914-681-9887
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Provider Business Mailing Address
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Address Line | 100 E HARTSDALE AVE APT 6HE
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City | HARTSDALE
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State | NY
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Zip | 10530-3953
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Country | US
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Telephone | 917-597-1799
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Fax | 914-681-9887
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Authorized Official
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Title or Position | OWNER
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Name | TING YU FENG
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Credential | LAC
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Telephone | 917-507-1799
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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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