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General NPI Number Information
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NPI Number | 1770370991
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Entity Type | Organization
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Legal Business Name | JWP WELLCARE ACUPUNCTURE
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 38 W 32ND ST STE 1612
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City | NEW YORK
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State | NY
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Zip | 10001-3874
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Country | US
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Telephone | 347-638-9515
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Fax |
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Provider Business Mailing Address
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Address Line | 150 BROADHOLLOW RD STE 316
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City | MELVILLE
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State | NY
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Zip | 11747-4901
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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 | PRESIDENT
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Name | JINWOO PARK
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Credential | L.AC
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Telephone | 917-846-7921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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