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General NPI Number Information
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NPI Number | 1336960814
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Entity Type | Organization
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Legal Business Name | BEACH ACUPUNCTURE
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 240 MATHISTOWN RD UNIT 109
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City | LITTLE EGG HARBOR TWP
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State | NJ
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Zip | 08087-4062
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Country | US
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Telephone | 609-994-0906
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Fax | 609-994-0906
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Provider Business Mailing Address
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Address Line | 608 BARNEGAT BLVD
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City | BEACHWOOD
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State | NJ
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Zip | 08722-4106
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Country | US
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Telephone | 848-333-5610
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Fax | 609-994-0906
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST/OWNER
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Name | KATHY ANN MARTIN
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Credential | MS.AC.
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Telephone | 848-333-5610
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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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Taxonomy #2
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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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