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General NPI Number Information
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NPI Number | 1508869017
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Entity Type | Organization
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Legal Business Name | NY ORIENTAL ACUPUNCTURE, PC
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Dates
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Enumeration Date | 05/30/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2813 OCEAN AVE # 1K
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City | BROOKLYN
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State | NY
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Zip | 11235-3158
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Country | US
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Telephone | 718-891-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 2813 OCEAN AVE # 1K
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City | BROOKLYN
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State | NY
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Zip | 11235-3158
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Country | US
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Telephone | 718-891-0001
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. HE HON LAO
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Credential | OMD
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Telephone | 718-891-0001
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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 | 000157
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License Number State | NY
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