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General NPI Number Information
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NPI Number | 1437979663
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Entity Type | Organization
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Legal Business Name | SELECT ACUPUNCTURE, P.C.
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 20 HICKSVILLE RD STE 8
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City | MASSAPEQUA
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State | NY
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Zip | 11758-5819
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Country | US
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Telephone | 631-722-1022
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Fax |
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Provider Business Mailing Address
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Address Line | 1326 7TH ST
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City | WEST BABYLON
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State | NY
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Zip | 11704-4250
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Country | US
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Telephone | 631-884-3048
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Fax |
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Authorized Official
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Title or Position | OWNER / CEO
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Name | VINCENT P CAPUTO
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Credential | L.AC.
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Telephone | 631-884-3048
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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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