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General NPI Number Information
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NPI Number | 1376973545
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Entity Type | Organization
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Legal Business Name | JEN MARKS ACUPUNCTURE AND HERBAL MEDICINE CENTER, LLC
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Dates
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Enumeration Date | 11/25/2013
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Last Update Date | 11/25/2013
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Provider Practice Location Address
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Address Line | 2431 HABERSHAM ST STE B
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City | SAVANNAH
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State | GA
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Zip | 31401-9360
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Country | US
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Telephone | 386-299-9947
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Fax |
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Provider Business Mailing Address
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Address Line | 2431 HABERSHAM ST STE B
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City | SAVANNAH
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State | GA
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Zip | 31401-9360
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Country | US
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Telephone | 386-299-9947
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Fax |
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Authorized Official
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Title or Position | OWNER/ACUPUNCTURIST
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Name | JENNIFER C MARKS
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Credential | L.AC.
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Telephone | 386-299-9947
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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 | 323
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License Number State | GA
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