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General NPI Number Information
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NPI Number | 1912798406
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Entity Type | Organization
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Legal Business Name | HOLISTICGO INC
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 425 5TH AVE UNIT OFFICE 4A
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City | NEW YORK
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State | NY
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Zip | 10016-2223
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Country | US
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Telephone | 212-358-8999
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Fax | 212-787-8765
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Provider Business Mailing Address
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Address Line | 425 5TH AVE UNIT OFFICE 4A
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City | NEW YORK
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State | NY
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Zip | 10016-2223
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Country | US
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Telephone | 212-358-8999
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Fax | 212-787-8765
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Authorized Official
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Title or Position | PRESIDENT
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Name | YAOXIN WONG
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Credential |
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Telephone | 917-407-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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