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General NPI Number Information
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NPI Number | 1912278136
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Entity Type | Individual
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Provider Name | JAIME MARKS L.AC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2012
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Last Update Date | 03/29/2022
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Provider Practice Location Address
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Address Line | 2900 WESTCHESTER AVE STE 205
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City | PURCHASE
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State | NY
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Zip | 10577-2551
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Country | US
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Telephone | 917-747-7732
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Fax | 212-979-8520
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Provider Business Mailing Address
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Address Line | 2900 WESTCHESTER AVE STE 205
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City | PURCHASE
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State | NY
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Zip | 10577-2551
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Country | US
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Telephone | 917-747-7732
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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 | 0047461
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License Number State | NY
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