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General NPI Number Information
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NPI Number | 1447338983
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Entity Type | Individual
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Provider Name | PING X FU LAC
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2040 DEER PARK AVE
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City | DEER PARK
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State | NY
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Zip | 11729-2101
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Country | US
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Telephone | 631-254-2668
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Fax | 718-793-9533
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Provider Business Mailing Address
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Address Line | 11713 UNION TPKE
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City | FOREST HILLS
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State | NY
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Zip | 11375-6140
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Country | US
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Telephone | 718-544-0862
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Fax | 718-793-9533
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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 | 000277
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License Number State | NY
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