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General NPI Number Information
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NPI Number | 1578733820
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Entity Type | Individual
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Provider Name | DENISE A. MALETTA L.AC./LMT
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Gender | Female
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 114 WALL STREET SUITE 300
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City | HUNTINGTON
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State | NY
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Zip | 11743-0000
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Country | US
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Telephone | 631-673-5433
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Fax | 631-673-5435
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Provider Business Mailing Address
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Address Line | PO BOX 44
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City | NORTHPORT
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State | NY
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Zip | 11768-0044
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Country | US
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Telephone | 631-757-6555
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Fax | 631-757-6555
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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 | 001812-1
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License Number State | NY
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