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General NPI Number Information
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NPI Number | 1134218019
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Entity Type | Individual
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Provider Name | IRINA ROYTMAN L. AC., DIPL. OM
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 02/26/2010
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Provider Practice Location Address
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Address Line | 426 MORRIS AVE
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City | ELIZABETH
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State | NJ
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Zip | 07208-3609
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Country | US
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Telephone | 732-740-7709
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Fax | 732-677-3636
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Provider Business Mailing Address
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Address Line | 25 KILMER DR BUILDING #3, STE.215
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1564
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Country | US
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Telephone | 732-740-7709
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Fax | 732-677-3636
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25 MZ00038500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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