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General NPI Number Information
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NPI Number | 1508693433
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Entity Type | Organization
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Legal Business Name | GRAMERCY PARK ACUPUNCTURE P.C.
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 8804 3RD AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-5664
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Country | US
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Telephone | 718-921-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 612 ARGYLE RD APT 3M
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City | BROOKLYN
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State | NY
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Zip | 11230-1635
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Country | US
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Telephone | 917-361-3644
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER RICARD
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Credential | LAC
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Telephone | 917-361-3644
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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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