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General NPI Number Information
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NPI Number | 1033914197
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Entity Type | Organization
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Legal Business Name | NUTRITIONAL WELLNESS CENTER
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 1 CINNAMINSON AVE STE 206
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City | PALMYRA
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State | NJ
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Zip | 08065-1303
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Country | US
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Telephone | 856-499-2160
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Fax | 856-267-1046
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Provider Business Mailing Address
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Address Line | 1 CINNAMINSON AVE STE 206
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City | PALMYRA
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State | NJ
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Zip | 08065-1303
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Country | US
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Telephone | 215-407-2019
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Fax | 856-267-1046
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Authorized Official
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Title or Position | DOCTOR/CEO
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Name | DR. SEAN C INELBERG
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Credential | DAC, MSC, CNS
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Telephone | 856-499-2160
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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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