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General NPI Number Information
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NPI Number | 1578806824
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Entity Type | Organization
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Legal Business Name | TRANSPERSONAL ACUPUNCTURE
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 291 WALL ST STE 2A
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City | KINGSTON
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State | NY
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Zip | 12401-3849
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Country | US
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Telephone | 845-340-8625
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Fax |
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Provider Business Mailing Address
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Address Line | 14 ELIZABETH ST
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City | KINGSTON
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State | NY
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Zip | 12401-4804
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JIPALA REICHER-KAGAN
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Credential |
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Telephone | 845-340-8625
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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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