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General NPI Number Information
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NPI Number | 1427935253
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Entity Type | Organization
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Legal Business Name | LUMINOUS ACUPUNCTURE PLLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 3310 101ST ST
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City | CORONA
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State | NY
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Zip | 11368-1018
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Country | US
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Telephone | 347-708-1294
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Fax |
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Provider Business Mailing Address
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Address Line | 154 PHELPS AVE
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City | CRESSKILL
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State | NJ
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Zip | 07626-2426
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Country | US
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Telephone | 201-966-7828
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAUL TAK
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Credential | L.AC
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Telephone | 201-966-7828
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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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