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General NPI Number Information
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NPI Number | 1992113658
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Entity Type | Organization
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Legal Business Name | HEALTH WISH ACUPUNCTURE AND MASSAGE THERAPY
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 75 PROSPECT STREET SUITE 109
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City | HUNTINGTON
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State | NY
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Zip | 11743
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Country | US
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Telephone | 516-279-0918
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Fax |
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Provider Business Mailing Address
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Address Line | 26 WEDGEWOOD DRIVE
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City | WESTBURY
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State | NY
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Zip | 11590
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Country | US
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Telephone | 516-279-0918
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MEHWISH CHUGHTAI
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Credential | LAC, LMT
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Telephone | 516-279-0918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 026675-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 005262-1
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License Number State | NY
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