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General NPI Number Information
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NPI Number | 1497905426
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Entity Type | Individual
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Provider Name | MELISSA ANGERSBACH DIPL. AC., C.A.
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Gender | Female
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 2116 SUNSET AVE SUITE B
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City | OCEAN
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State | NJ
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Zip | 07712-4672
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Country | US
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Telephone | 732-414-9423
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Fax |
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Provider Business Mailing Address
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Address Line | 2116 SUNSET AVE
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City | OCEAN
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State | NJ
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Zip | 07712-4672
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Country | US
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Telephone | 732-414-9423
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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 | 25MZ00064500
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License Number State | NJ
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