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General NPI Number Information
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NPI Number | 1316278575
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Entity Type | Organization
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Legal Business Name | PRINCETON DAY SPA, INC
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Dates
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Enumeration Date | 01/27/2010
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Last Update Date | 01/27/2010
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Provider Practice Location Address
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Address Line | 812 STATE RD
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City | PRINCETON
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State | NJ
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Zip | 08540-1400
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Country | US
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Telephone | 609-924-4910
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Fax |
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Provider Business Mailing Address
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Address Line | 812 STATE RD
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City | PRINCETON
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State | NJ
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Zip | 08540-1400
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Country | US
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Telephone | 609-924-4910
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARIA E VASSILEV-BAKER
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Credential | L.AC
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Telephone | 609-924-4910
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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 | MZ00018900
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License Number State | NJ
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