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General NPI Number Information
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NPI Number | 1548852205
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Entity Type | Individual
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Provider Name | ERIK KONIGER
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Gender | Male
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 10 BROADWAY
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City | MALVERNE
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State | NY
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Zip | 11565-1633
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Country | US
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Telephone | 212-567-0243
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 546
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City | THOMASTON
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State | CT
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Zip | 06787-0546
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Country | US
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Telephone | 212-567-0243
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Fax |
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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 | 001147
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License Number State | NY
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