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General NPI Number Information
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NPI Number | 1902776479
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Entity Type | Individual
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Provider Name | SALLY TROYANOVSKI L.AC, M.AC, DACCHM
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Gender | Female
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 811 CHESTNUT RIDGE ROAD STORE E
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City | CHESTNUT RIDGE
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State | NY
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Zip | 10977-6330
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Country | US
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Telephone | 201-887-0229
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Fax |
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Provider Business Mailing Address
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Address Line | 64 PITTIS AVE
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City | ALLENDALE
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State | NJ
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Zip | 07401-1521
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Country | US
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Telephone |
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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 | 007836
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License Number State | NY
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