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General NPI Number Information
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NPI Number | 1376921973
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Entity Type | Organization
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Legal Business Name | QI POINTS ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 245 MAIN ST SUITE 2M
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City | MATAWAN
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State | NJ
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Zip | 07747-3244
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Country | US
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Telephone | 732-242-4536
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Fax | 732-879-0316
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Provider Business Mailing Address
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Address Line | 21 DRIFTWAY RD
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City | HOWELL
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State | NJ
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Zip | 07731-2436
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Country | US
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Telephone | 732-242-4536
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Fax | 732-879-0316
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER MAY LIN
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Credential | L.AC.
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Telephone | 732-242-4536
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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 | 25MZ00104900
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License Number State | NJ
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