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General NPI Number Information
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NPI Number | 1679184543
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Entity Type | Organization
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Legal Business Name | GOLDEN NEEDLE ACUPUNCTURE & WELLNESS LLC
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 39 LORI ST
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-8644
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Country | US
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Telephone | 732-421-2254
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Fax | 732-387-2777
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Provider Business Mailing Address
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Address Line | 39 LORI ST
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City | MONROE TOWNSHIP
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State | NJ
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Zip | 08831-8644
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Country | US
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Telephone | 732-421-2254
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Fax | 732-387-2777
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Authorized Official
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Title or Position | OWNER
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Name | MARIA PHILLIPS BLACKMAN
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Credential | DAOM
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Telephone | 732-421-2254
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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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