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General NPI Number Information
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NPI Number | 1437664885
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Entity Type | Organization
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Legal Business Name | MIDTOWN ACUPUNCTURE INC
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Dates
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Enumeration Date | 12/07/2017
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Last Update Date | 12/07/2017
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Provider Practice Location Address
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Address Line | 119 W 57TH ST STE 620
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City | NEW YORK
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State | NY
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Zip | 10019-2302
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Country | US
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Telephone | 212-944-2440
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Fax |
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Provider Business Mailing Address
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Address Line | 119 W 57TH ST STE 620
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City | NEW YORK
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State | NY
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Zip | 10019-2302
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Country | US
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Telephone | 212-944-2440
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHEILA BIDAR
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Credential | LAC
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Telephone | 212-944-2440
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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 | 2160
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License Number State | NY
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