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General NPI Number Information
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NPI Number | 1720318371
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Entity Type | Organization
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Legal Business Name | ADVANCED ACUPUNCTURE LLC
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Dates
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Enumeration Date | 01/04/2010
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 379 PRINCETON HIGHTSTOWN RD
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City | EAST WINDSOR
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State | NJ
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Zip | 08512-2960
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Country | US
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Telephone | 609-558-9286
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Fax | 609-750-9779
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Provider Business Mailing Address
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Address Line | 3 MADISON DR
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City | PLAINSBORO
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State | NJ
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Zip | 08536-2319
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Country | US
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Telephone | 609-558-9286
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Fax | 609-750-9779
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Authorized Official
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Title or Position | OWNER
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Name | YINGZHE LI
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Credential |
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Telephone | 609-672-0281
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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 | 25MZ00036200
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License Number State | NJ
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