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General NPI Number Information
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NPI Number | 1548596901
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Entity Type | Individual
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Provider Name | DOMINIC SEMBELLO L.AC.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 03/21/2020
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Provider Practice Location Address
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Address Line | 401 NEW RD STE 210
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City | LINWOOD
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State | NJ
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Zip | 08221-1200
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Country | US
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Telephone | 609-248-6922
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Fax | 609-601-0041
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Provider Business Mailing Address
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Address Line | 929 SANDY CIR
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-2551
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Country | US
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Telephone | 609-597-2988
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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 | AK000688
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License Number State | PA
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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 | 25MZ00039300
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License Number State | NJ
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