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General NPI Number Information
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NPI Number | 1992145643
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Entity Type | Organization
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Legal Business Name | AK ACUPUNCTURE PC
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 3039 OCEAN PKWY
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City | BROOKLYN
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State | NY
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Zip | 11235-8378
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Country | US
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Telephone | 718-946-9070
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Fax |
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Provider Business Mailing Address
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Address Line | 60 SCOTT AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3516
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEKSEY KLEYMAN
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Credential |
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Telephone | 917-751-3922
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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 | 001624
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License Number State | NY
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