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General NPI Number Information
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NPI Number | 1528577244
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Entity Type | Organization
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Legal Business Name | WENJING ACUPUNCTURE AND HERB LLC
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 746 AUSTIN ST
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City | WESTFIELD
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State | NJ
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Zip | 07090-4446
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Country | US
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Telephone | 347-510-6297
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Fax |
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Provider Business Mailing Address
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Address Line | 746 AUSTIN ST
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City | WESTFIELD
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State | NJ
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Zip | 07090-4446
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Country | US
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Telephone | 347-510-6297
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. WENJING ZHAO
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Credential | LAC
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Telephone | 347-208-7409
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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 | 004757
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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 | 25MZ00111800
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License Number State | NJ
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