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General NPI Number Information
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NPI Number | 1851794689
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Entity Type | Individual
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Provider Name | KATHRYN QUEEN M.S. L.AC., L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 133 W 72ND ST RM 303
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City | NEW YORK
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State | NY
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Zip | 10023-3238
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Country | US
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Telephone | 347-526-2275
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Fax |
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Provider Business Mailing Address
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Address Line | 404 E 65TH ST APT 3D
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City | NEW YORK
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State | NY
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Zip | 10065-7120
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Country | US
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Telephone | 347-526-2275
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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 | 005385
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License Number State | NY
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