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General NPI Number Information
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NPI Number | 1245532290
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE CENTER OF NEW JERSEY
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 40 FRANKLIN ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-8630
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Country | US
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Telephone | 973-984-2800
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Fax | 973-984-7693
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Provider Business Mailing Address
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Address Line | 40 FRANKLIN ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-8630
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Country | US
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Telephone | 973-984-2800
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Fax | 973-984-7693
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. PETER KADAR
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Credential | L.AC., D.O.M.
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Telephone | 973-984-2800
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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 | 25MZ00001800
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License Number State | NJ
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