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General NPI Number Information
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NPI Number | 1245920560
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Entity Type | Organization
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Legal Business Name | DE CHI COMPANY INC.
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 2 MOUNT PROSPECT AVE UNIT 9
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City | DOVER
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State | NJ
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Zip | 07801-3748
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Country | US
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Telephone | 973-818-4309
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Fax |
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Provider Business Mailing Address
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Address Line | 555 GOFFLE RD STE 222
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-4036
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Country | US
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Telephone | 973-818-4309
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER DECICCO
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Credential | L.AC
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Telephone | 973-818-4309
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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 |
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License Number State |
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