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Individual
Inactive
Individual
Inactive
Sole proprietor
Provider details
NPI number
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
001396
NY
171100000X
Acupuncturist
AC00810
OR
225700000X
Massage Therapist
Primary
3997
OR
Other
Enumeration date
—
Last updated
—
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