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General NPI Number Information
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NPI Number | 1548883184
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Entity Type | Organization
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Legal Business Name | HEALTHY PIN ACUPUNCTURE PC
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Dates
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Enumeration Date | 05/18/2020
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Last Update Date | 05/18/2020
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Provider Practice Location Address
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Address Line | 21426 41ST AVE # 202
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City | BAYSIDE
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State | NY
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Zip | 11361-2159
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Country | US
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Telephone | 516-787-0587
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Fax |
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Provider Business Mailing Address
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Address Line | 15 AVENUE A # 2
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-2455
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Country | US
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Telephone | 415-864-9220
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | THI VU
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Credential | DACM, L.AC
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Telephone | 415-864-9220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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