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General NPI Number Information
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NPI Number | 1326225269
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Entity Type | Individual
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Provider Name | JAIME KRISTEN WHERRY L. AC.
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Gender | Female
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 5 STATE RT 94 SUITE D
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City | VERNON
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State | NJ
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Zip | 07462-3553
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Country | US
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Telephone | 973-534-1837
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Fax | 973-827-0132
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Provider Business Mailing Address
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Address Line | 5 STATE RT 94 SUITE D
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City | VERNON
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State | NJ
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Zip | 07462-3553
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Country | US
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Telephone | 973-534-1837
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Fax | 973-827-0132
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25MX00051500
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License Number State | NJ
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