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General NPI Number Information
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NPI Number | 1083143085
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Entity Type | Organization
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Legal Business Name | ACU-ART LLC
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 209 S LIVINGSTON AVE
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City | LIVINGSTON
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State | NJ
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Zip | 07039-4044
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Country | US
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Telephone | 732-823-7219
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Fax |
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Provider Business Mailing Address
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Address Line | 275 E MOUNT PLEASANT AVE STE 4
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City | LIVINGSTON
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State | NJ
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Zip | 07039-3210
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Country | US
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Telephone | 732-823-7219
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | KE JIN
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Credential | LAC
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Telephone | 732-823-7219
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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 | 25MZ00122100
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License Number State | NJ
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