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General NPI Number Information
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NPI Number | 1477813764
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Entity Type | Organization
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Legal Business Name | YIN YANG ACUPUNCTURE CHANNEL, PLLC
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 335 W 85TH ST APT 3A
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City | NEW YORK
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State | NY
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Zip | 10024-3861
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Country | US
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Telephone | 212-975-7948
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Fax |
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Provider Business Mailing Address
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Address Line | 335 W 85TH ST APT 3A
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City | NEW YORK
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State | NY
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Zip | 10024-3861
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Country | US
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Telephone | 917-783-8998
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA ORLANDO
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Credential | L. AC.; DIPL. AC.
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Telephone | 917-783-8998
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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 | 4585
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License Number State | NY
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