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General NPI Number Information
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NPI Number | 1629409974
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Entity Type | Organization
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Legal Business Name | 2 LIFE ACUPUNCTURE, PC
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 9701 101ST AVE
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City | OZONE PARK
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State | NY
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Zip | 11416-2523
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Country | US
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Telephone | 718-835-4199
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Fax |
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Provider Business Mailing Address
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Address Line | 84 E ROCKS RD
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City | NORWALK
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State | CT
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Zip | 06851-2924
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Country | US
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Telephone | 203-554-5738
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANDRZEJ DARLOWSKI
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Credential | LAC
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Telephone | 203-554-5738
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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 | 001906
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License Number State | NY
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