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General NPI Number Information
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NPI Number | 1396176665
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Entity Type | Organization
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Legal Business Name | AFFINITY HEALING CENTERS LLC
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 24 RIVER RD STE 209
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City | BOGOTA
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State | NJ
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Zip | 07603-1522
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Country | US
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Telephone | 201-220-7055
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Fax |
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Provider Business Mailing Address
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Address Line | 24 RIVER RD STE 209
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City | BOGOTA
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State | NJ
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Zip | 07603-1522
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Country | US
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Telephone | 201-220-7055
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PRACTITIONER
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Name | MS. ANGELA ELSIE CUBERO
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Credential | L. AC, MSOM, LMT
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Telephone | 201-220-7055
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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 | 005098-1
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License Number State | NY
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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 | 25MZ00103900
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License Number State | NJ
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