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General NPI Number Information
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NPI Number | 1902380546
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Entity Type | Organization
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Legal Business Name | TAO & ZEN ACUPUNCTURE LLC
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Dates
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Enumeration Date | 09/19/2018
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 169 MAIN ST STE 105
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City | MATAWAN
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State | NJ
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Zip | 07747-4105
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Country | US
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Telephone | 732-718-1765
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Fax | 732-441-9555
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Provider Business Mailing Address
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Address Line | 1055 ROUTE 34 STE B
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City | ABERDEEN
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State | NJ
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Zip | 07747-2192
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Country | US
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Telephone | 732-718-1765
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Fax | 732-441-9555
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Authorized Official
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Title or Position | OWNER
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Name | DR. KRISTINA ZUCK
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Credential | DAC, LAC
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Telephone | 732-718-1765
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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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