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General NPI Number Information
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NPI Number | 1467596098
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Entity Type | Organization
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Legal Business Name | UNION REHABILITATION MEDICINE AND ACUPUNCTURE, PLLC
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 495 CENTRAL PARK AVE SUITE 205
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City | SCARSDALE
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State | NY
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Zip | 10583-1068
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Country | US
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Telephone | 914-472-3848
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Fax | 914-472-3898
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Provider Business Mailing Address
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Address Line | 14 ROSS RD
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City | SCARSDALE
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State | NY
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Zip | 10583-4426
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Country | US
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Telephone | 914-588-0528
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Fax | 914-472-3898
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Authorized Official
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Title or Position | OWNER
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Name | XIAOFANG WEI
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Credential | M.D.
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Telephone | 914-472-3848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 228232
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License Number State | NY
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