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General NPI Number Information
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NPI Number | 1437352028
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Entity Type | Individual
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Provider Name | TING YU FENG L.AC., D.O.M.,D.AC
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Gender | Male
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Dates
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Enumeration Date | 06/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 68 E HARTSDALE AVE , SUITE 1E
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City | HARTSDALE
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State | NY
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Zip | 10530-2707
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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 | 914-681-9888
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Fax | 914-681-9887
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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 | 002676-1
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License Number State | NY
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