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General NPI Number Information
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NPI Number | 1417622580
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Entity Type | Individual
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Provider Name | MOTI YAHAV DACM, LAC, LMT, CPT
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Gender | Male
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 1033 CLIFTON AVE STE 114
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City | CLIFTON
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State | NJ
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Zip | 07013-3517
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Country | US
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Telephone | 201-572-4379
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Fax |
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Provider Business Mailing Address
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Address Line | 91 JEWEL ST APT 4R
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City | BROOKLYN
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State | NY
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Zip | 11222-3025
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Country | US
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Telephone | 201-572-4379
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 006740
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License Number State | NY
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