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NPI 1699988535

NPI 1699988535 : KENNY KENG SHING HO L.AC, PT, DPT : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1699988535
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    Entity Type          |    Individual 
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    Provider Name        |    KENNY KENG SHING HO L.AC, PT, DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/07/2007
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    Last Update Date     |    12/09/2020
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Provider Practice Location Address
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    Address Line         |    7206 BAY PKWY 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11204-6026
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    Country              |    US
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    Telephone            |    646-875-1600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2174 66TH ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11204-3922
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    Country              |    US
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    Telephone            |    646-267-7504
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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       |    003214
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    035727
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    License Number State |    NY
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