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General NPI Number Information
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NPI Number | 1740760040
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Entity Type | Organization
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Legal Business Name | SAYVILLE ACUPUNCTURE PC
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 160 MIDDLE RD
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City | SAYVILLE
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State | NY
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Zip | 11782-3126
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Country | US
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Telephone | 631-239-8262
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Fax |
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Provider Business Mailing Address
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Address Line | 160 MIDDLE RD
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City | SAYVILLE
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State | NY
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Zip | 11782-3126
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JORDAN BARBER
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Credential | LAC
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Telephone | 631-239-8262
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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 | 3667
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License Number State | NY
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