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General NPI Number Information
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NPI Number | 1730403619
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Entity Type | Individual
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Provider Name | DENISE L RUDD LAC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2010
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 10 E BROAD ST APT A
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City | HOPEWELL
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State | NJ
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Zip | 08525-1800
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Country | US
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Telephone | 609-333-2821
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Fax |
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Provider Business Mailing Address
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Address Line | 26 BATTLE HILL AVE
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-1912
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Country | US
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Telephone |
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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 | 25MZ00069200
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License Number State | NJ
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