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General NPI Number Information
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NPI Number | 1629600101
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Entity Type | Organization
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Legal Business Name | STIM ACUPUNCTURE AND PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 139 FULTON STREET RM 208
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City | NEW YORK
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State | NY
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Zip | 10038-2538
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Country | US
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Telephone | 212-729-8565
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Fax | 845-595-8220
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Provider Business Mailing Address
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Address Line | 139 FULTON STREET RM 208
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City | NEW YORK
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State | NY
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Zip | 10038-2538
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Country | US
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Telephone | 212-729-8565
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Fax | 845-595-8220
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | BRIAN NG
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Credential | L.AC
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Telephone | 212-729-8565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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