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General NPI Number Information
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NPI Number | 1962918201
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Entity Type | Organization
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Legal Business Name | SHORE ACPUNCTURE, LLC
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Dates
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Enumeration Date | 12/22/2017
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Last Update Date | 12/22/2017
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Provider Practice Location Address
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Address Line | 800 HOOPER AVE
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7719
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Country | US
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Telephone | 732-349-4060
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Fax | 732-349-1116
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Provider Business Mailing Address
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Address Line | 800 HOOPER AVE
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City | TOMS RIVER
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State | NJ
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Zip | 08753-7719
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Country | US
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Telephone | 732-349-4060
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Fax | 732-349-1116
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH SCAPICIO
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Credential | DC, LAC
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Telephone | 732-349-4060
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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 | 25MZ00064800
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License Number State | NJ
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