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General NPI Number Information
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NPI Number | 1871543470
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Entity Type | Organization
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Legal Business Name | EASTWEST HEALING ARTS & ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 111 N CENTRAL AVE SUITE 231
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City | HARTSDALE
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State | NY
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Zip | 10530-1903
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Country | US
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Telephone | 914-629-1611
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Fax |
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Provider Business Mailing Address
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Address Line | 23 ROCKLEDGE RD APARTMENT 2B
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City | HARTSDALE
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State | NY
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Zip | 10530-3421
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Country | US
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Telephone | 914-713-1698
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES LYNN ELKIN
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Credential | L.AC.
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Telephone | 914-629-4680
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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 | 001299
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 001493
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License Number State | NY
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