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General NPI Number Information
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NPI Number | 1740756444
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Entity Type | Organization
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Legal Business Name | THREE TREASURES ACUPUNCTURE OF NEW JERSEY, LLC
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 09/06/2019
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Provider Practice Location Address
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Address Line | 43 MAIN STREET SUITE 102
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City | SPARTA
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State | NJ
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Zip | 07871
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Country | US
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Telephone | 973-512-3333
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Fax | 973-512-3333
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Provider Business Mailing Address
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Address Line | 54 SHAWNEE TRAIL
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City | SPARTA
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State | NJ
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Zip | 07871
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Country | US
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Telephone | 973-896-9601
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Fax | 973-729-6515
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SEONSOOK KIM
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Credential | DOCTOR & ACUPUNCTURE
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Telephone | 973-896-9601
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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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