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General NPI Number Information
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NPI Number | 1376615906
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Entity Type | Organization
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Legal Business Name | AN SHEN ACUPUNCTURE, PC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 W BAY PLZ
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City | PLATTSBURGH
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State | NY
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Zip | 12901-1787
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Country | US
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Telephone | 518-563-0200
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Fax | 518-563-6983
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Provider Business Mailing Address
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Address Line | 301 W BAY PLZ
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City | PLATTSBURGH
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State | NY
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Zip | 12901-1787
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Country | US
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Telephone | 518-563-0200
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Fax | 518-563-6983
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | MR. BRIAN ALLAN OSBORNE
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Credential | LIC. AC.
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Telephone | 518-563-0200
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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 | 001005-1
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License Number State | NY
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