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General NPI Number Information
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NPI Number | 1578277539
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Entity Type | Organization
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Legal Business Name | EAST WEST INTEGRATIVE ACUPUNCTURE
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Dates
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Enumeration Date | 01/12/2023
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 84 PARK AVE STE E105
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1175
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Country | US
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Telephone | 908-883-0084
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Fax |
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Provider Business Mailing Address
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Address Line | 84 PARK AVE STE E105
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1175
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Country | US
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Telephone | 908-883-0084
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANN-MARIE ANDERSON
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Credential | DAC, LAC, DIPL AC
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Telephone | 908-883-0084
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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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