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General NPI Number Information
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NPI Number | 1952547556
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Entity Type | Organization
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Legal Business Name | ALQUIMIA - ACUPUNCTURE & MASSAGE THERAPY, PLLC
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Dates
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Enumeration Date | 01/02/2009
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | 1 HOLLOW LN SUITE 304
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1215
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Country | US
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Telephone | 718-321-3251
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Fax | 718-321-3251
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Provider Business Mailing Address
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Address Line | 1 HOLLOW LN SUITE 304
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1215
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Country | US
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Telephone | 718-321-3251
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Fax | 718-321-3251
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Authorized Official
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Title or Position | OWNER
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Name | MONTSERRAT MARKOU
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Credential | L.AC., LMT
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Telephone | 718-321-3251
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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 | 25003479
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License Number State | NY
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