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General NPI Number Information
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NPI Number | 1649891490
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Entity Type | Organization
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Legal Business Name | OCEAN ACUPUNCTURE PC
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 1970-6
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City | CORAM
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State | NY
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Zip | 11727
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Country | US
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Telephone | 631-766-1612
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Fax |
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Provider Business Mailing Address
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Address Line | 154 MORTON BLVD
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City | PLAINVIEW
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State | NY
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Zip | 11803-5617
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Country | US
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Telephone | 917-769-6864
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. KEVIN SPEARS
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Credential | D.O.M
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Telephone | 631-766-1612
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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 |
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