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General NPI Number Information
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NPI Number | 1992274864
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Entity Type | Individual
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Provider Name | MARIA JULIA DEANGELISLASCHEID D.AC.
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Gender | Female
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Dates
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Enumeration Date | 11/20/2018
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Last Update Date | 01/08/2021
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Provider Practice Location Address
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Address Line | 6717 ATLANTIC AVE
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City | VENTNOR CITY
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State | NJ
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Zip | 08406-2621
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Country | US
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Telephone | 609-551-5778
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Fax |
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Provider Business Mailing Address
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Address Line | 10 S WYOMING AVE
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City | VENTNOR CITY
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State | NJ
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Zip | 08406-2517
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Country | US
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Telephone | 609-334-1352
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 25MZ00124800
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License Number State | NJ
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