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NPI 1528963592

NPI 1528963592 : 58 ACUPUNCTURE PC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1528963592
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    Entity Type          |    Organization 
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    Legal Business Name  |    58 ACUPUNCTURE PC 
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Dates
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    Enumeration Date     |    10/10/2026
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    Last Update Date     |    10/10/2026
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Provider Practice Location Address
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    Address Line         |    426 W 58TH ST # MEDICAL 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10019-1120
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    Country              |    US
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    Telephone            |    347-964-3642
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    426 W 58TH ST # MEDICAL 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10019-1120
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    Country              |    US
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    Telephone            |    347-964-3642
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     RONG  LU 
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    Credential           |    
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    Telephone            |    347-964-3642
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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 |    NULL
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