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General NPI Number Information
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NPI Number | 1700391737
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Entity Type | Organization
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Legal Business Name | LOTUS BLOSSOM ACUPUNCTURE PC
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Dates
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Enumeration Date | 12/13/2017
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 353 LEXINTON AVENUE 1205
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City | NEW YORK CITY
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State | NY
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Zip | 10016-0031
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Country | US
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Telephone | 347-405-4558
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Fax | 347-368-0598
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Provider Business Mailing Address
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Address Line | 353 LEXINTON AVENUE #1205
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City | NEW YORK CITY
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State | NY
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Zip | 10016
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Country | US
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Telephone | 347-282-2978
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Fax | 347-368-0598
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Authorized Official
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Title or Position | FOUNDER,MANAGER
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Name | MS. QIANQIU LOTUS HUANG
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Credential | L.AC
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Telephone | 347-282-2978
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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 | 006001
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License Number State | NY
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