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General NPI Number Information
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NPI Number | 1407115694
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Entity Type | Organization
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Legal Business Name | STONE FLOWER MOUNTAIN HEALTH ASSOCIATES
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 1310 ROUTE 28
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City | WEST HURLEY
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State | NY
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Zip | 12491
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Country | US
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Telephone | 845-679-4872
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 300
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City | WEST HURLEY
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State | NY
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Zip | 12491-0300
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Country | US
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Telephone | 845-679-4872
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Fax | 845-679-4379
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Authorized Official
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Title or Position | OWNER
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Name | ABBEY J SEMEL
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Credential | R.D., L.AC.
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Telephone | 845-679-4872
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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 | 265
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License Number State | NY
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