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General NPI Number Information
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NPI Number | 1912196585
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE & CHINESE HERBAL MEDICINE, P.C.
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 1156 E RIDGEWOOD AVE SUITE NUMBER 15
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3935
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Country | US
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Telephone | 201-689-2332
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Fax |
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Provider Business Mailing Address
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Address Line | 1156 E RIDGEWOOD AVE SUITE NUMBER 15
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-3935
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Country | US
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Telephone | 201-689-2332
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SALLY LIANG
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Credential | M.S., C.A., L. AC.
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Telephone | 201-689-2332
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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 | 25MZ00017600
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License Number State | NJ
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