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General NPI Number Information
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NPI Number | 1699331249
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Entity Type | Individual
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Provider Name | YONG QI
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Gender | Male
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Dates
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Enumeration Date | 05/18/2019
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 849 57TH ST STE 8
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City | BROOKLYN
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State | NY
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Zip | 11220-3798
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Country | US
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Telephone | 718-576-6882
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Fax | 718-228-4455
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Provider Business Mailing Address
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Address Line | 3505 PARSONS BLVD APT 1H
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City | FLUSHING
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State | NY
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Zip | 11354-4218
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Country | US
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Telephone | 929-300-6829
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 006523
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License Number State | NY
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