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General NPI Number Information
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NPI Number | 1902038805
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Entity Type | Individual
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Provider Name | JENNIFER MARIE MOHR-BOSCAINO M.S., L.AC.
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Gender | Female
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Dates
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Enumeration Date | 08/11/2009
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 361 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11215-3398
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Country | US
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Telephone | 212-228-5522
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Fax |
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Provider Business Mailing Address
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Address Line | 426 BEDFORD RD
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City | PLEASANTVILLE
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State | NY
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Zip | 10570-3003
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Country | US
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Telephone | 914-579-2400
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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 | 0038541
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License Number State | NY
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