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General NPI Number Information
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NPI Number | 1033441696
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Entity Type | Organization
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Legal Business Name | HAMILTON WEST WINDSOR ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 02/08/2010
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 1245 WHITEHORSE MERCERVILLE RD BLDG. A, SUITE 408
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City | HAMILTON
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State | NJ
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Zip | 08619-3831
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Country | US
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Telephone | 609-588-8655
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Fax | 609-588-8016
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Provider Business Mailing Address
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Address Line | 1245 WHITEHORSE MERCERVILLE RD BLDG. A, SUITE 408
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City | HAMILTON
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State | NJ
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Zip | 08619-3831
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Country | US
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Telephone | 609-588-8655
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Fax | 609-588-8016
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Authorized Official
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Title or Position | ACUPUNCTURIST / OWNER
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Name | DR. CHARLES F STUEBER JR.
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Credential | DAC, LAC, DIPL. AC
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Telephone | 609-588-8655
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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 | 25MZ00010500
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License Number State | NJ
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