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General NPI Number Information
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NPI Number | 1578416871
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Entity Type | Individual
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Provider Name | FABIANA C ANNIBAL-AVVOCATO MS,L.AC.
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Gender | Female
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 162 W 56TH ST STE 205
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City | NEW YORK
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State | NY
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Zip | 10019-8007
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Country | US
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Telephone | 914-609-8851
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Fax |
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Provider Business Mailing Address
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Address Line | 44B BYRAM TERRACE DR
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City | GREENWICH
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State | CT
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Zip | 06831-5126
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Country | US
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Telephone | 914-609-8851
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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 | 007879-01
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License Number State | NY
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