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General NPI Number Information
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NPI Number | 1457478554
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Entity Type | Individual
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Provider Name | MING LU L.AC
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Gender | Male
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 280 DOBBS FERRY RD SUITE 106
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City | WHITE PLAINS
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State | NY
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Zip | 10607-1900
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Country | US
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Telephone | 914-686-0076
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Fax |
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Provider Business Mailing Address
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Address Line | 7 POINT DRIVE NORTH
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City | LAKE PEEKSKILL
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State | NY
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Zip | 10537-1230
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Country | US
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Telephone | 845-528-2623
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Fax |
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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 | 000849
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License Number State | NY
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