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General NPI Number Information
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NPI Number | 1023727344
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Entity Type | Organization
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Legal Business Name | BE WELL ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 75 MAIN ST STE 2
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City | MANASQUAN
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State | NJ
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Zip | 08736-2925
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Country | US
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Telephone | 908-489-3196
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 311
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City | MANASQUAN
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State | NJ
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Zip | 08736-0311
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Country | US
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Telephone | 908-489-3196
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARA KOVATS
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Credential | DACM
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Telephone | 908-489-3196
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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 |
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License Number State |
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