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General NPI Number Information
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NPI Number | 1700454626
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Entity Type | Organization
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Legal Business Name | JA ACUPUNCTURE NY PC
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/16/2021
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Provider Practice Location Address
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Address Line | 2606 E 16TH ST
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City | BROOKLYN
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State | NY
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Zip | 11235-3806
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Country | US
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Telephone | 347-325-1515
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Fax | 718-333-5272
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Provider Business Mailing Address
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Address Line | 4207 ATLANTIC AVE STE 1A
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City | BROOKLYN
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State | NY
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Zip | 11224-1023
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Country | US
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Telephone | 347-325-1515
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Fax | 718-333-5272
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | MS. JULIA ALIKINA
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Credential | L.AC
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Telephone | 347-325-1515
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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 |
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License Number State |
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