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General NPI Number Information
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NPI Number | 1548809577
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Entity Type | Individual
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Provider Name | JULIANNE MARCELLY OLINISKI L.AC.
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Gender | Female
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 29 ALDEN ST STE 1A
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City | CRANFORD
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State | NJ
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Zip | 07016-2156
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Country | US
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Telephone | 908-276-0294
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Fax | 908-276-0753
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Provider Business Mailing Address
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Address Line | 5 RIDGE AVE
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City | NEPTUNE
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State | NJ
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Zip | 07753-5076
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Country | US
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Telephone | 732-686-9416
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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 | 25MZ00144100
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License Number State | NJ
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