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General NPI Number Information
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NPI Number | 1083153308
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Entity Type | Organization
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Legal Business Name | JING ACUPUNCTURE SERVICE LLC
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 3322 US HIGHWAY 22, BLDG 8, 805
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City | BRANCHBURG
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State | NJ
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Zip | 08876
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Country | US
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Telephone | 908-210-7977
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Fax | 908-722-3976
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Provider Business Mailing Address
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Address Line | 3322 US HIGHWAY 22, BLDG 8, 805
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City | BRANCHBURG
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State | NJ
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Zip | 08876
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Country | US
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Telephone | 908-210-7977
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Fax | 908-722-3976
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Authorized Official
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Title or Position | L.AC, OWNER
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Name | SHUJING DAI
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Credential |
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Telephone | 908-210-7977
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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 | 25MZ00120400
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License Number State | NJ
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