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General NPI Number Information
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NPI Number | 1457621351
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Entity Type | Organization
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Legal Business Name | BRUCE XU ACUPUNCTURE, PLLC
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 2851 CLOVER ST
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City | PITTSFORD
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State | NY
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Zip | 14534-1711
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Country | US
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Telephone | 585-385-4510
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Fax | 585-385-4519
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Provider Business Mailing Address
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Address Line | 8 HIDDEN SPRINGS DR
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City | PITTSFORD
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State | NY
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Zip | 14534-2897
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Country | US
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Telephone | 585-385-4510
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Fax | 585-385-4519
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRUCE Z. XU
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Credential | L.AC.
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Telephone | 585-385-4510
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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 | 001054
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License Number State | NY
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