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General NPI Number Information
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NPI Number | 1629250634
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Entity Type | Organization
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Legal Business Name | JERSEY REHABILITATION MEDICAL CLINIC PC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 11/30/2007
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Provider Practice Location Address
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Address Line | 620 CRANBURY ROAD SUITE 118
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-390-8866
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Fax | 732-390-6550
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Provider Business Mailing Address
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Address Line | 620 CRANBURY ROAD SUITE 118
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-390-8866
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Fax | 732-390-6550
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DR. LU HAN
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Credential | MD PT ACUPUNCTURIST
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Telephone | 732-390-8866
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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