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General NPI Number Information
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NPI Number | 1902265325
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Entity Type | Organization
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Legal Business Name | TURTLE BAY ACUPUNCTURE
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 333 E 46TH ST #1J
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City | NEW YORK
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State | NY
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Zip | 10017-7401
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Country | US
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Telephone | 212-557-2616
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E 46TH ST #1J
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City | NEW YORK
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State | NY
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Zip | 10017-6426
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Country | US
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Telephone | 212-557-2616
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Fax |
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Authorized Official
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Title or Position | ACUPUNCTURIST
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Name | MS. SUZANNE MICHELLE HILL
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Credential | L.AC.
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Telephone | 212-557-6216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 001236
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License Number State | NY
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