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General NPI Number Information
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NPI Number | 1659648673
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH ACUPUNCTURE, PLLC
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 3272 HEMPSTEAD TPKE
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City | LEVITTOWN
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State | NY
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Zip | 11756-1345
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Country | US
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Telephone | 631-559-4234
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Fax |
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Provider Business Mailing Address
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Address Line | 3272 HEMPSTEAD TPKE
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City | LEVITTOWN
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State | NY
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Zip | 11756-1345
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Country | US
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Telephone | 631-559-4234
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY LAWRENCE
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Credential | MS, L.AC.
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Telephone | 631-559-4234
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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 | 25003088
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License Number State | NY
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