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General NPI Number Information
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NPI Number | 1497613327
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Entity Type | Organization
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Legal Business Name | SAGE CHINESE MEDICINE AND ACUPUNCTURE
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 227 E BERGEN PL
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City | RED BANK
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State | NJ
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Zip | 07701-2160
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Country | US
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Telephone | 732-646-5118
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Fax |
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Provider Business Mailing Address
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Address Line | 124A ALPEN STRASSE
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City | FREEHOLD
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State | NJ
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Zip | 07728-3453
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Country | US
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Telephone | 732-740-3121
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | CANDACE VENGERSKY
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Credential | L.AC.
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Telephone | 732-740-3121
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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 |
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License Number State |
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