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General NPI Number Information
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NPI Number | 1528320462
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Entity Type | Individual
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Provider Name | ANNE THERESA BROWN L.AC.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 45 CAREY AVE SUITE 107
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City | BUTLER
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State | NJ
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Zip | 07405-1475
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Country | US
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Telephone | 862-684-5677
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Fax |
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Provider Business Mailing Address
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Address Line | 26 E SHORE RD
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City | DENVILLE
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State | NJ
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Zip | 07834-2025
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Country | US
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Telephone | 862-684-5677
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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 | 25MZ00055700
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License Number State | NJ
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