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General NPI Number Information
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NPI Number | 1255130241
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Entity Type | Organization
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Legal Business Name | HOBOKEN WOMEN'S WELLNESS
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 204 2ND ST
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City | HOBOKEN
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State | NJ
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Zip | 07030-3735
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Country | US
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Telephone | 201-420-6988
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Fax |
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Provider Business Mailing Address
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Address Line | 204 2ND ST
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City | HOBOKEN
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State | NJ
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Zip | 07030-3735
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Country | US
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Telephone | 201-420-6988
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MOLLIE BOLLERS SURKIN
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Credential | LMT
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Telephone | 917-549-9140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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