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General NPI Number Information
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NPI Number | 1497169742
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Entity Type | Organization
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Legal Business Name | ATLANTIC-PACIFIC ACUPUNCTURE, P.C
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Dates
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Enumeration Date | 06/15/2014
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Last Update Date | 06/15/2014
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Provider Practice Location Address
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Address Line | 1115 OCEAN PKWY MEDICAL PLAZA, 1ST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11230-4073
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Country | US
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Telephone | 718-838-0242
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 E 17TH ST APT 3E
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City | BROOKLYN
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State | NY
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Zip | 11229-2999
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Country | US
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Telephone | 718-838-0242
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MARINA SMIRNOVA
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Credential | MSAC
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Telephone | 718-838-0242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 003807
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License Number State | NY
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