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General NPI Number Information
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NPI Number | 1720731243
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Entity Type | Individual
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Provider Name | ALEXA VULPIS L.AC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 945 HUGUENOT AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10312-4312
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Country | US
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Telephone | 646-434-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 15 CRAWFORD RD
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City | MANALAPAN
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State | NJ
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Zip | 07726-8394
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Country | US
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Telephone | 908-839-6228
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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 | 006518
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License Number State | NY
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