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General NPI Number Information
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NPI Number | 1861542607
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Entity Type | Organization
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Legal Business Name | SPIRIT ACUPUNCTURE PC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 119-137 CLIFFORD STREET
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City | NEWARK
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State | NJ
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Zip | 07105
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Country | US
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Telephone | 973-985-3600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1153
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-5153
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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 | OWNER
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Name | EDWARD RASKIN
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Credential | C.A.
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Telephone | 973-985-3600
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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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