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General NPI Number Information
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NPI Number | 1679942957
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Entity Type | Organization
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Legal Business Name | GOODPOINT MEDICINE P. C.
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 155 PROSPECT AVE STE 205
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City | WEST ORANGE
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State | NJ
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Zip | 07052
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Country | US
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Telephone | 973-910-8288
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Fax | 973-910-8289
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Provider Business Mailing Address
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Address Line | 155 PROSPECT AVE STE 205
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City | WEST ORANGE
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State | NJ
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Zip | 07052-4204
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Country | US
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Telephone | 973-910-8288
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Fax | 973-910-8289
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. HUI-TZU YANG
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Credential | L. AC.
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Telephone | 973-910-8288
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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 | 004939
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25MZ00112800
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License Number State | NJ
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