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General NPI Number Information
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NPI Number | 1528668662
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE ONE WELLNESS CENTER LLC
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 10/28/2020
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Provider Practice Location Address
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Address Line | 600 VALLEY RD STE 101
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City | WAYNE
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State | NJ
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Zip | 07470-3551
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Country | US
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Telephone | 978-987-3399
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Fax |
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Provider Business Mailing Address
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Address Line | 600 VALLEY RD STE 101
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City | WAYNE
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State | NJ
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Zip | 07470-3551
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Country | US
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Telephone | 978-987-3399
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Fax |
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Authorized Official
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Title or Position | OFFICE REP
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Name | LAUREN KUCHNO
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Credential |
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Telephone | 833-789-3227
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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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