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General NPI Number Information
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NPI Number | 1912610577
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Entity Type | Organization
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Legal Business Name | NATURAL BALANCE ACUPUNCTURE PC
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 580 ROUTE 303 STE 2
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City | BLAUVELT
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State | NY
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Zip | 10913-1105
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Country | US
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Telephone | 201-625-3691
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Fax |
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Provider Business Mailing Address
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Address Line | 580 ROUTE 303 STE 2
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City | BLAUVELT
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State | NY
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Zip | 10913-1105
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Country | US
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Telephone | 201-625-3691
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | BULIM YIM
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Credential |
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Telephone | 201-625-3691
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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 |
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License Number State |
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