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General NPI Number Information
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NPI Number | 1851834188
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Entity Type | Individual
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Provider Name | SUSAN ENGEL L.AC.
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Gender | Female
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 41 ELM ST SUITE 1U
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7201
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Country | US
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Telephone | 973-454-8594
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Fax |
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Provider Business Mailing Address
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Address Line | 275 SUSSEX AVE
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City | NEWARK
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State | NJ
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Zip | 07107-3120
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Country | US
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Telephone | 973-454-8594
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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 | 25MZ00120500
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License Number State | NJ
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