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General NPI Number Information
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NPI Number | 1497543912
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Entity Type | Organization
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Legal Business Name | SUN SPRING ACUPUNCTURE P.C
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Dates
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Enumeration Date | 04/25/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 200 S SERVICE RD STE 209
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-2118
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Country | US
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Telephone | 516-778-4830
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Fax |
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Provider Business Mailing Address
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Address Line | 34 JUNIPER RD
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-1435
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Country | US
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Telephone | 516-672-6794
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | JIN SUN JEONG
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Credential |
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Telephone | 516-778-4830
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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 |
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License Number State |
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