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General NPI Number Information
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NPI Number | 1508876129
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Entity Type | Individual
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Provider Name | IRIS MIRIAM NETZER-GREENFIELD LAC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 201 E 56TH ST INFORM FITNESS
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-991-8680
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Fax | 309-214-6620
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Provider Business Mailing Address
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Address Line | PO BOX 734
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City | WESTPORT
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State | CT
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Zip | 06881-0734
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Country | US
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Telephone | 917-744-4403
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Fax | 309-214-6620
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1388
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 6889
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License Number State | CA
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