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General NPI Number Information
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NPI Number | 1720610017
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE PAIN MANAGEMENT CENTER LLC
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 59 AVENUE AT THE CMN STE 104
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4559
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Country | US
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Telephone | 908-601-7376
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Fax |
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Provider Business Mailing Address
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Address Line | 8 LAKE DR
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City | FREEHOLD
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State | NJ
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Zip | 07728-1362
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Country | US
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Telephone | 908-601-7376
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST/ CEO
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Name | DR. CHELSEA REINERT
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Credential | DAOM, L.AC.
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Telephone | 908-601-7376
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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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