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General NPI Number Information
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NPI Number | 1972863439
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Entity Type | Organization
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Legal Business Name | PRINCETON MEDICAL ACUPUNCTURE CENTER PROFESSIONAL LLC
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 04/14/2020
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Provider Practice Location Address
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Address Line | 15 DOGWOOD DR
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1959
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Country | US
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Telephone | 609-269-5888
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Fax |
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Provider Business Mailing Address
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Address Line | 15 DOGWOOD DR
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City | PLAINSBORO
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State | NJ
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Zip | 08536-1959
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. JENNIFER LUAN
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Credential |
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Telephone | 609-520-0088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 25MA07095100
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License Number State | NJ
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