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General NPI Number Information
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NPI Number | 1740094176
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Entity Type | Organization
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Legal Business Name | REDDY FOR BALANCE ACUPUNCTURE PLLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 41 SAXON AVE
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City | BAY SHORE
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State | NY
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Zip | 11706-7009
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Country | US
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Telephone | 631-219-5369
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Fax | 631-212-8444
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Provider Business Mailing Address
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Address Line | 41 SAXON AVE
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City | BAY SHORE
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State | NY
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Zip | 11706-7009
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Country | US
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Telephone | 631-219-5369
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | PATRICIA CECILIA REDDY
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Credential | L.AC
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Telephone | 631-219-5369
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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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