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General NPI Number Information
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NPI Number | 1649543570
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Entity Type | Organization
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Legal Business Name | NATURAL WELLNESS CENTER LLC
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 120 WOOD AVENUE SOUTH SUITE 502 WOODBRIDGE HILTON HOTEL
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City | ISELIN
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State | NJ
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Zip | 08830-2709
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Country | US
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Telephone | 732-632-9500
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Fax | 732-632-9510
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Provider Business Mailing Address
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Address Line | 120 WOOD AVENUE SOUTH SUITE 502 WOODBRIDGE HILTON HOTEL
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City | ISELIN
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State | NJ
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Zip | 08830-2709
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Country | US
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Telephone | 732-632-9500
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Fax | 732-632-9510
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Authorized Official
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Title or Position | LEAD ACUPUNCTURIST
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Name | MS. YINGHUA WU
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Credential | LIC.A.
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Telephone | 732-632-9500
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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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