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General NPI Number Information
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NPI Number | 1235476953
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Entity Type | Organization
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Legal Business Name | HEALTHY BODY ACUPUNCTURE
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 761 PALMER AVE 2ND FLOOR
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City | HOLMDEL
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State | NJ
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Zip | 07733-1086
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Country | US
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Telephone | 917-686-6669
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Fax |
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Provider Business Mailing Address
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Address Line | 2 BRISTEL RD
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City | HOLMDEL
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State | NJ
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Zip | 07733-2717
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Country | US
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Telephone | 917-686-6669
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZSUZSA DEBROCI
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Credential | MS, OM, L,AC DIPL OM
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Telephone | 917-686-6669
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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 | 25MZ00066800
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License Number State | NJ
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