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NPI 1740141514

NPI 1740141514 : ACUPUNCTURE MEDICINE : LEBANON, NJ

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General NPI Number Information
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    NPI Number           |    1740141514
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACUPUNCTURE MEDICINE 
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Dates
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    Enumeration Date     |    11/20/2025
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    Last Update Date     |    11/20/2025
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Provider Practice Location Address
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    Address Line         |    270 MAIN ST 
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    City                 |    LEBANON
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    State                |    NJ
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    Zip                  |    08833-4218
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    Country              |    US
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    Telephone            |    908-236-9499
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    270 MAIN ST 
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    City                 |    LEBANON
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    State                |    NJ
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    Zip                  |    08833-4218
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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    |    DOCTOR OF ACUPUNCTURE
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    Name                 |     MICHELLE  CORRALES 
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    Credential           |    DAC
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    Telephone            |    856-264-8013
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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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