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General NPI Number Information
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NPI Number | 1710471420
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Entity Type | Individual
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Provider Name | ELIZABETH ALEXANDRA PIECH LAC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 155 E 2ND ST
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City | NEW YORK
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State | NY
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Zip | 10009-8001
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Country | US
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Telephone | 212-777-4486
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Fax |
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Provider Business Mailing Address
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Address Line | 3243 41ST ST # 3
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City | ASTORIA
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State | NY
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Zip | 11103-3502
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Country | US
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Telephone | 201-341-7548
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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 | 006193
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License Number State | NY
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