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General NPI Number Information
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NPI Number | 1912176058
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Entity Type | Organization
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Legal Business Name | NATUROPATHIC ACUPUNTURE CARE P.C.
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 281 WHITE PLAINS RD
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City | EASTCHESTER
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State | NY
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Zip | 10709-4407
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Country | US
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Telephone | 914-337-2980
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Fax | 914-961-8489
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Provider Business Mailing Address
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Address Line | 2 SOUND VIEW DR SUITE 100
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City | GREENWICH
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State | CT
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Zip | 06830-6471
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Country | US
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Telephone | 914-337-2980
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Fax | 914-961-8489
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALFRED MICHAEL LISANTI
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Credential | ND
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Telephone | 914-337-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 000388
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License Number State | CT
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