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General NPI Number Information
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NPI Number | 1609021112
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Entity Type | Individual
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Provider Name | SABRINA SZYMCZAK L.AC.
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Gender | Female
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 9 SUMMIT AVE
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-1529
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Country | US
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Telephone | 201-773-9700
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Fax | 201-773-9701
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Provider Business Mailing Address
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Address Line | 140 MALLINSON ST
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City | ALLENDALE
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State | NJ
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Zip | 07401-1918
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Country | US
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Telephone | 973-420-8836
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Fax | 201-773-9701
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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 | 25MZ00038700
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License Number State | NJ
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