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General NPI Number Information
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NPI Number | 1073097713
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Entity Type | Organization
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Legal Business Name | DONG E ACUPUNCTURE LLC
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 09/19/2018
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Provider Practice Location Address
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Address Line | 80 HENDERSON RD
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1509
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Country | US
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Telephone | 732-422-7101
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Fax |
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Provider Business Mailing Address
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Address Line | 80 HENDERSON RD
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City | KENDALL PARK
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State | NJ
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Zip | 08824-1509
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Country | US
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Telephone | 732-422-7101
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. BRANDON YOON
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Credential | ACUPUNCTURIST
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Telephone | 732-422-7101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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