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General NPI Number Information
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NPI Number | 1578998795
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Entity Type | Organization
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Legal Business Name | BEACON ACUPUNCTURE WELLNESS PLLC
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 2022 W 11TH ST
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City | BROOKLYN
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State | NY
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Zip | 11223-3541
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Country | US
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Telephone | 917-576-3979
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Fax |
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Provider Business Mailing Address
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Address Line | 2022 W 11TH ST
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City | BROOKLYN
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State | NY
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Zip | 11223-3541
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Country | US
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Telephone | 917-576-3979
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. QINGHUI FENG
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Credential |
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Telephone | 917-576-3979
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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 | NY
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Taxonomy #2
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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 | NJ
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