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General NPI Number Information
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NPI Number | 1942601463
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Entity Type | Organization
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Legal Business Name | ACUPUNCTURE SPECIALISTS
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 102 BROWNING LN BUILDING A, SUITE 1B
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3195
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Country | US
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Telephone | 856-528-2678
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Fax | 856-528-2938
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Provider Business Mailing Address
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Address Line | 102 BROWNING LN BUILDING A, SUITE 1B
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3195
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Country | US
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Telephone | 856-528-2678
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Fax | 856-528-2938
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Authorized Official
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Title or Position | CEO
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Name | MR. HISHAM IBRAHIM AMER
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Credential | L.AC
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Telephone | 605-638-0489
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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 | 25MZ00083300
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License Number State | NJ
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