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General NPI Number Information
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NPI Number | 1609352723
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Entity Type | Organization
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Legal Business Name | YELLOW EMPEROR EVENTS LLC
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 122 W 26TH ST RM 1201
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City | NEW YORK
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State | NY
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Zip | 10001-7055
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Country | US
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Telephone | 929-352-5752
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Fax |
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Provider Business Mailing Address
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Address Line | 802 LINCOLN PL
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City | BROOKLYN
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State | NY
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Zip | 11216-4344
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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 | SASHANA FULLER FULLER
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Credential | L.AC.
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Telephone | 347-241-2444
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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 | 006262
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License Number State | NY
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