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General NPI Number Information
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NPI Number | 1992277065
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Entity Type | Organization
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Legal Business Name | GAON WELLNESS ACUPUNCTURE PHYSICAL THERAPY AND CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 12/29/2018
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 37 W 32ND ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10001-3801
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Country | US
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Telephone | 917-797-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 37 W 32ND ST FL 4
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City | NEW YORK
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State | NY
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Zip | 10001-3801
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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 | PRESIDENT
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Name | YOUNGJUN YOUN
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Credential |
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Telephone | 917-797-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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