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General NPI Number Information
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NPI Number | 1942518204
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE NORTHERN WESTCHESTER PLLC
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 83 S BEDFORD RD
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3429
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Country | US
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Telephone | 914-244-4410
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Fax |
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Provider Business Mailing Address
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Address Line | 83 S BEDFORD RD
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3429
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Country | US
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Telephone | 914-244-4410
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. EUGENIO JIMENEZ DE CASTRO
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Credential | L.AC., S.A.
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Telephone | 914-244-4410
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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 | 0043601
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License Number State | NY
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