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General NPI Number Information
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NPI Number | 1851169460
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Entity Type | Organization
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Legal Business Name | NEW HEIGHTS THERAPEUTIC INC
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Dates
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Enumeration Date | 12/13/2023
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 23 EDWARDS ST
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1123
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Country | US
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Telephone | 347-897-0823
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Fax |
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Provider Business Mailing Address
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Address Line | 23 EDWARDS ST
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1123
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Country | US
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Telephone | 347-897-0823
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SOPHIE REN
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Credential |
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Telephone | 347-897-0823
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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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