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General NPI Number Information
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NPI Number | 1497620629
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Entity Type | Organization
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Legal Business Name | AQUA ACUPUNCTURE NEW YORK PC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 1143 47TH AVE FL 2
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-5418
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Country | US
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Telephone | 646-450-2421
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Fax |
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Provider Business Mailing Address
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Address Line | 4332 22ND ST STE 203
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-5077
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Country | US
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Telephone | 646-450-2475
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUNGMIN HAN
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Credential |
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Telephone | 646-642-1236
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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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