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General NPI Number Information
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NPI Number | 1871868133
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Entity Type | Individual
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Provider Name | JUDSON D. CHANEY N.D., MSAC
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Gender | Male
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 101 BURRS RD SUITE C
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City | WESTAMPTON
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State | NJ
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Zip | 08060-5517
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Country | US
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Telephone | 609-702-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 144 WOODSTREAM CT
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City | NEW HOPE
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State | PA
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Zip | 18938-1067
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Country | US
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Telephone | 203-767-0204
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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 | 25MZ00056200
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License Number State | NJ
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