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General NPI Number Information
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NPI Number | 1497676654
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Entity Type | Organization
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Legal Business Name | ALPACA MEDICAL SERVICES EAST PC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 197 GRAND ST STE 6N
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City | NEW YORK
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State | NY
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Zip | 10013-3953
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Country | US
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Telephone | 917-341-1803
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Fax | 302-274-0656
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Provider Business Mailing Address
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Address Line | 1111B S GOVERNORS AVE STE 25569
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City | DOVER
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State | DE
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Zip | 19904-6903
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Country | US
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Telephone | 917-341-1803
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Fax | 302-274-0656
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL GAO
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Credential |
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Telephone | 214-517-7619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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