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General NPI Number Information
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NPI Number | 1578870291
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Entity Type | Organization
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Legal Business Name | NEW YORK BEIJING PHD'S ACUPUNCTURE PC
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Dates
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Enumeration Date | 09/01/2010
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 378 SOUTH OYSTER BAY ROAD
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City | HICKSVILLE
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State | NY
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Zip | 11801
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Country | US
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Telephone | 516-749-2065
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Fax |
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Provider Business Mailing Address
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Address Line | 378 SOUTH OYSTER BAY ROAD
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City | HICKSVILLE
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State | NY
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Zip | 11801
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Country | US
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Telephone | 516-749-2065
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. XIU YANG
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Credential | PHD, MD(CHINA)
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Telephone | 516-749-2065
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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 | 2347
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License Number State | NY
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