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General NPI Number Information
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NPI Number | 1811305899
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Entity Type | Organization
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Legal Business Name | DK ACUPUNCTURE&MASSAGE THERAPY P.C.
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 10520 CROSSBAY BLVD
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City | OZONE PARK
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State | NY
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Zip | 11417-1515
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Country | US
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Telephone | 718-641-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 915 84TH ST #3A
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City | BROOKLYN
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State | NY
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Zip | 11228-2849
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Country | US
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Telephone | 646-641-6561
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Fax |
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Authorized Official
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Title or Position | PRESEDENT
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Name | MR. DMITRIY KHELEMSKIY
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Credential | MS, L.AC, LMT
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Telephone | 646-641-6561
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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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