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General NPI Number Information
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NPI Number | 1528951084
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Entity Type | Organization
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Legal Business Name | ENSO ACUPUNCTURE AND MASSAGE, PLLC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 25 MELVILLE PARK RD STE 200B
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City | MELVILLE
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State | NY
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Zip | 11747-3156
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Country | US
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Telephone | 631-888-5957
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Fax |
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Provider Business Mailing Address
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Address Line | 25 MELVILLE PARK RD STE 200B
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City | MELVILLE
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State | NY
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Zip | 11747-3156
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Country | US
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Telephone | 631-888-5957
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER AREBALO
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Credential | LMT
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Telephone | 631-834-0246
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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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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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