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General NPI Number Information
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NPI Number | 1750833604
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Entity Type | Organization
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Legal Business Name | FAMILY ACUPUNCTURE, PLLC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 3753 90TH ST SUITE 2
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7873
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Country | US
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Telephone | 151-681-5667
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Fax |
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Provider Business Mailing Address
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Address Line | 3753 90TH ST SUITE 2
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7873
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Country | US
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Telephone | 151-681-5667
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Fax |
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Authorized Official
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Title or Position | DIRECCTOR
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Name | MR. CESAR E ARMOZA
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Credential | L.AC.
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Telephone | 516-815-6674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 000719
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License Number State | NY
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