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General NPI Number Information
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NPI Number | 1407173073
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Entity Type | Organization
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Legal Business Name | GREEN ACUPUNCTURE, P.C.
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Dates
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Enumeration Date | 04/22/2010
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Last Update Date | 04/22/2010
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Provider Practice Location Address
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Address Line | 77 TARRYTOWN RD
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1639
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Country | US
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Telephone | 914-421-1690
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Fax |
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Provider Business Mailing Address
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Address Line | 77 TARRYTOWN RD
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1639
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Country | US
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Telephone | 914-421-1690
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Fax |
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Authorized Official
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Title or Position | L.AC.
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Name | DR. YEONGPIL CHEONG
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Credential |
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Telephone | 914-421-1690
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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 | 1454
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License Number State | NY
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