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General NPI Number Information
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NPI Number | 1952170110
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Entity Type | Organization
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Legal Business Name | NADIS ACUPUNCTURE PLLC
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 314 HEMPSTEAD AVE STE 1
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2054
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Country | US
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Telephone | 516-968-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 555 10TH AVE APT 24N
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City | NEW YORK
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State | NY
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Zip | 10018-0231
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Country | US
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Telephone | 808-520-7063
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NYDIA DIXON
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Credential | DAC. LAC.
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Telephone | 808-520-7053
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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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