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General NPI Number Information
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NPI Number | 1568030898
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Entity Type | Organization
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Legal Business Name | YORKTOWNE ASSOCIATES INC.
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Dates
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Enumeration Date | 06/14/2021
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Last Update Date | 06/14/2021
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Provider Practice Location Address
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Address Line | 1644 DEER PARK AVE
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City | DEER PARK
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State | NY
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Zip | 11729-5211
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Country | US
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Telephone | 516-707-9859
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Fax |
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Provider Business Mailing Address
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Address Line | 71 W 21ST ST
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City | DEER PARK
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State | NY
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Zip | 11729-3919
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Country | US
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Telephone | 516-707-9859
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GERARD KENNEDY
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Credential | LAC.
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Telephone | 516-707-9859
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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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