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General NPI Number Information
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NPI Number | 1457140121
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE LOCAL PC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 4386 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10040-4002
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Country | US
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Telephone | 347-657-4386
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Fax |
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Provider Business Mailing Address
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Address Line | 675 W 187TH ST APT 3
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City | NEW YORK
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State | NY
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Zip | 10033-1328
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Country | US
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Telephone | 347-657-4386
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROSANNA DE LA CRUZ
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Credential | LAC.
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Telephone | 347-657-4386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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