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General NPI Number Information
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NPI Number | 1568328102
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Entity Type | Individual
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Provider Name | LAN JIANG LAC
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Gender | Female
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 33 MARKET ST
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City | NEW YORK
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State | NY
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Zip | 10002-6877
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Country | US
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Telephone | 646-386-7286
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Fax | 718-875-4545
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Provider Business Mailing Address
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Address Line | 9429 75TH ST FL 2
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City | OZONE PARK
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State | NY
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Zip | 11416-1005
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Country | US
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Telephone | 646-549-7866
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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 | 007688-01
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License Number State | NY
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