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General NPI Number Information
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NPI Number | 1689099798
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Entity Type | Individual
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Provider Name | JEFF PANG L. AC.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 09/21/2020
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Provider Practice Location Address
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Address Line | 242 HWY 79 N STE 11
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City | MORGANVILLE
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State | NJ
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Zip | 07751-2079
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Country | US
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Telephone | 908-255-5132
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Fax |
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Provider Business Mailing Address
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Address Line | 4 LEIGH RD
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4245
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Country | US
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Telephone | 908-255-5132
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Fax |
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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 | 005250
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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 | 25MZ00108800
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License Number State | NJ
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