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General NPI Number Information
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NPI Number | 1174014070
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Entity Type | Organization
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Legal Business Name | TEWKSBURY FAMILY ACUPUNCTURE
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/25/2018
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Provider Practice Location Address
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Address Line | 54 FOX HILL RD
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City | CALIFON
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State | NJ
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Zip | 07830-3006
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Country | US
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Telephone | 908-698-2746
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Fax |
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Provider Business Mailing Address
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Address Line | 54 FOX HILL RD
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City | CALIFON
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State | NJ
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Zip | 07830-3006
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Country | US
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Telephone | 908-698-2746
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KUN-YII TU
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Credential | ACUPUNCTURIST
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Telephone | 908-698-2746
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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 | 25MZ00127700
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License Number State | NJ
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