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General NPI Number Information
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NPI Number | 1811340532
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Entity Type | Organization
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Legal Business Name | A. M. ACUPUNCTURE, LLC
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 09/18/2019
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Provider Practice Location Address
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Address Line | 322 BROAD STREET SUITE 3
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City | MILFORD
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State | PA
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Zip | 18337-1360
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Country | US
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Telephone | 570-409-7990
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Fax | 570-409-7995
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Provider Business Mailing Address
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Address Line | 322 BROAD STREET SUITE 3
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City | MILFORD
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State | PA
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Zip | 18337-1360
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Country | US
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Telephone | 570-409-7990
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Fax | 570-409-7995
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | MS. ANCA MARINESCU
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Credential | DACM, LAC
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Telephone | 570-409-7990
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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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