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General NPI Number Information
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NPI Number | 1780415018
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Entity Type | Organization
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Legal Business Name | NEW YORK MID TOWN ACUPUNCTURE SERVICES PC
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 50 E 42ND ST RM 1600
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City | NEW YORK
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State | NY
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Zip | 10017-5457
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Country | US
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Telephone | 929-899-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 450 LEXINGTON AVE UNIT 493
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City | NEW YORK
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State | NY
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Zip | 10163-9615
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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 | OFFICE MANAGER
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Name | MS. JADE LOR
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Credential |
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Telephone | 929-389-5969
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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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