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General NPI Number Information
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NPI Number | 1851594485
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Entity Type | Individual
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Provider Name | DEREN LIANG LAC
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Gender | Male
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Dates
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Enumeration Date | 06/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8 BAY 35TH ST 1ST FLOOR, LIANG'S ACUPUNCTURE
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City | BROOKLYN
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State | NY
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Zip | 11214-4363
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Country | US
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Telephone | 718-265-6919
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Fax |
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Provider Business Mailing Address
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Address Line | 8896 18TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11214-6002
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Country | US
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Telephone | 718-837-3313
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 000675
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License Number State | NY
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