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General NPI Number Information
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NPI Number | 1346363439
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Entity Type | Individual
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Provider Name | JOANNE PATRICIA RACCIATTI-PARKER C.A.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 114 STRAUBE CENTER BOULEVARD, SUITE K1-6
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City | PENNINGTON
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State | NJ
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Zip | 08534-2304
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Country | US
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Telephone | 609-730-8534
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Fax |
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Provider Business Mailing Address
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Address Line | 149 E DELAWARE AVE
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City | PENNINGTON
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State | NJ
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Zip | 08534-2304
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Country | US
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Telephone | 609-730-8534
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Fax |
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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 | 25MZ00029400
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License Number State | NJ
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