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General NPI Number Information
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NPI Number | 1679785430
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Entity Type | Organization
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Legal Business Name | LIFEWAY ACUPUNCTURE, P.C.
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8838 WOODHAVEN BLVD
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City | WOODHAVEN
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State | NY
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Zip | 11421-2138
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Country | US
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Telephone | 718-835-4199
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Fax | 718-835-2989
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Provider Business Mailing Address
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Address Line | PO BOX 754098
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City | FOREST HILLS
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State | NY
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Zip | 11375-9098
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Country | US
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Telephone | 718-835-4199
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Fax | 718-835-2989
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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 | L.AC.
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Telephone | 718-835-4199
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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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