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General NPI Number Information
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NPI Number | 1447115654
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Entity Type | Individual
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Provider Name | MINJUNG SONG
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Gender | Female
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 271 KING ST STE 6
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City | PERTH AMBOY
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State | NJ
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Zip | 08861-4488
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Country | US
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Telephone | 732-798-5474
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Fax | 732-661-6271
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Provider Business Mailing Address
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Address Line | 275 N HARRISON ST UNIT 222
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City | PRINCETON
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State | NJ
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Zip | 08540-3537
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Country | US
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Telephone | 240-281-2906
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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 | 25MZ00177600
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License Number State | NJ
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