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General NPI Number Information
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NPI Number | 1316510696
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Entity Type | Organization
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Legal Business Name | ACUFITPRO WELLNESS LLC
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 240 W PASSAIC ST STE 8
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City | MAYWOOD
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State | NJ
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Zip | 07607-1264
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Country | US
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Telephone | 551-800-1590
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PARK AVE PH 8F
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City | FORT LEE
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State | NJ
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Zip | 07024-3810
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Country | US
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Telephone | 551-404-3496
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. UNE-HI SONG
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Credential | M.S., L.AC
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Telephone | 551-404-3496
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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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